Organization Active NPI

Desert Valley Family Practice

  • Family Medicine Physician
  • Carson City, NV
National Provider Identifier
1235309113
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9437 Issued in NV
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.