Sun City Medical Center PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0904 Issued in NV

Legal business name

SUN CITY MEDICAL CENTER PLLC

Practice address

9280 W Sunset Rd Ste 410
Las Vegas, NV 89148-4862

Phone

(702) 300-8528

Fax

(702) 447-7544

NPI assigned

Mar 27, 2017

Last updated

Sep 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Grant Beck, DPMNPI 1649446220

Title

Owner/Doctor

Phone

(702) 300-8528

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Grant Leon Beck, DPM

  • Foot & Ankle Surgery Podiatrist
  • Las Vegas, NV
  • NPI 1649446220
  Medicare reassignment Authorized official
• Casey C Burchill, DPM

  • Foot & Ankle Surgery Podiatrist
  • Las Vegas, NV
  • NPI 1922437821
  Medicare reassignment

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1225569528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9280 W SUNSET RD STE 410",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484862",
            "telephone_number": "702-300-8528",
            "fax_number": "702-447-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9280 W SUNSET RD STE 410",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484862",
            "telephone_number": "702-300-8528",
            "fax_number": "702-447-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CITY MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "702-300-8528",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NV",
            "license": "0904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1649446220",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Summit Wound Healing LLC (Summit Wound Healing)
• Shalysha Summit
• Deandre Lamont Summlin
• Sun City Foot Care (Summerlin Foot & Ankle)
• Sun City Hospice Inc
• Sun City Medical Transport
• Sun Dental Professional Corporation
• Sun Medical & Mobility Equipment
• Sun RX Drugs Inc (Sun Drugs)
• Sun-Rise Community Services

• Foot & Ankle Surgery Podiatrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Foot & Ankle Surgery Podiatrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.