Annette Teijeiro, M. D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

6699 Issued in NV

Practice address

174 Ultra Dr
Henderson, NV 89074-8331

Phone

(702) 837-3538

Fax

(702) 263-3338

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235263773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93953",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891933953",
            "telephone_number": "702-837-3538",
            "fax_number": "702-263-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 ULTRA DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748331",
            "telephone_number": "702-837-3538",
            "fax_number": "702-263-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEIJEIRO",
        "first_name": "ANNETTE",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "6699",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD00030492",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019249",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Anesthesiology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.