NPIMap

Organization Active NPI

Carson Tahoe Urgent Care

  • Urgent Care Clinic/Center
  • Dayton, NV
National Provider Identifier
1235409939
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CARSON TAHOE URGENT CARE
Practice address
901 Medical Center Dr
Suite 101
Dayton, NV 89403-7458
Phone
(775) 445-7201
Fax
(775) 236-9002
NPI assigned
Jan 11, 2012
Last updated
Jan 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Dolly Frey
Title
Practice Manager
Phone
(775) 445-7337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

901 Medical Center Dr
Suite 101
Dayton, NV 89403-7458

Mailing address

1201 S Carson St
Carson City, NV 89701-5225
Phone (775) 445-7337

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D1011135Carson Tahoe Urgent Care Dayton901 Medical Center Dr, Ste 101, Dayton, NV 89403Certificate of waiverMar 31, 2027

National Provider Directory

National Provider Directory
Tax ID family
Carson Tahoe Physician Clinics14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1235409939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S CARSON ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897015225",
            "telephone_number": "775-445-7337",
            "fax_number": "445-841-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MEDICAL CENTER DR",
            "address_2": "SUITE 101",
            "city": "DAYTON",
            "state": "NV",
            "postal_code": "894037458",
            "telephone_number": "775-445-7201",
            "fax_number": "775-236-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARSON TAHOE URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "FREY",
        "authorized_official_first_name": "DOLLY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "775-445-7337"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.