Active NPI
Desert Valley Family Practice
- Family Medicine Physician
- Carson City, NV
National Provider Identifier
1235309113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9437
- Legal business name
- DESERT VALLEY FAMILY PRACTICE
- Practice address
- 1001 Mountain St
Suite 1E
Carson City, NV 89703-3822 - Phone
- (775) 882-0777
- Fax
- (775) 882-3472
- NPI assigned
- Mar 6, 2008
- Last updated
- Mar 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marie Johnson
- Title
- Office Manager
- Phone
- (775) 882-0777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9437 | NV | Primary |
Addresses
Primary practice location
1001 Mountain St
Suite 1E
Carson City, NV 89703-3822
Mailing address
1001 Mountain St
Suite 1E
Carson City, NV 89703-3822
Phone (775) 882-0777
National Provider Directory
National Provider DirectoryLocations
1001 Mountain St
Ste 1E
Carson City, NV 89703
Phone (775) 882-0777
Practitioners & affiliated clinicians
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.
-
- Family Nurse Practitioner
- Carson City, NV
- NPI 1336183185
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1932192614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204761600000",
"number": "1235309113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 MOUNTAIN ST",
"address_2": "SUITE 1E",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897033822",
"telephone_number": "775-882-0777",
"fax_number": "775-882-3472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 MOUNTAIN ST",
"address_2": "SUITE 1E",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897033822",
"telephone_number": "775-882-0777",
"fax_number": "775-882-3472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESERT VALLEY FAMILY PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-06",
"last_updated": "2008-03-06",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "MARIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "775-882-0777"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "9437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.