Organization Active NPI

Tri-State Sinus Center

  • Otolaryngology Physician
  • Bullhead City, AZ
National Provider Identifier
1225543036
Registry record updated Dec 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
TRI-STATE SINUS CENTER
Practice address
2020 Silver Creek
B101
Bullhead City, AZ 86442
Phone
(406) 836-2484
NPI assigned
Dec 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carey Sims
Title
Ceo
Phone
(406) 836-2484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

2020 Silver Creek
B101
Bullhead City, AZ 86442

Mailing address

896 Talon Pointe Dr
Bullhead City, AZ 86429-5225

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1225543036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "896 TALON POINTE DR",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864295225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 SILVER CREEK",
            "address_2": "B101",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "86442",
            "telephone_number": "406-836-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE SINUS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "CAREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-836-2484"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.