Organization Active NPI

Thalgott, a Professional Corporation

Doing business as Center for Diseases and Surgery of the Spine

  • Orthopaedic Surgery of the Spine Physician
  • Las Vegas, NV
National Provider Identifier
1265532196
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
5357 Issued in NV
Legal business name
THALGOTT, A PROFESSIONAL CORPORATION
Doing business as
Center for Diseases and Surgery of the Spine
Practice address
600 S Rancho Dr
#107
Las Vegas, NV 89106-4806
Phone
(702) 878-8370
Fax
(702) 878-9364
NPI assigned
Sep 22, 2006
Last updated
Feb 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Authorized official

Name
John S ThalgottNPI 1720071582
Title
MD
Phone
(702) 878-8370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X 5357 NV Primary

Addresses

Primary practice location

600 S Rancho Dr
#107
Las Vegas, NV 89106-4806

Mailing address

600 S Rancho Dr
#107
Las Vegas, NV 89106-4806
Phone (702) 878-8370

Other identifiers 3

IdentifierTypeStateIssuer
01259773OtherNVBCBS
100507244MedicaidNV
CE0313OtherNVRAILROAD MEDICARE

Other names 1

  • CENTER FOR DISEASES AND SURGERY OF THE SPINE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040419000080 NV Part B Supplier - Clinic/Group Practice 3173518263 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Interoperability endpoints

  • Direct secure messaging: timiangodfrey@cdss.allscriptsdirect.net
  • Direct secure messaging: anastasiavanleuven@cdss.allscriptsdirect.net
  • Direct secure messaging: johnthalgott@cdss.allscriptsdirect.net

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549497600000",
    "number": "1265532196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S RANCHO DR",
            "address_2": "#107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064806",
            "telephone_number": "702-878-8370",
            "fax_number": "702-878-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S RANCHO DR",
            "address_2": "#107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064806",
            "telephone_number": "702-878-8370",
            "fax_number": "702-878-9364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THALGOTT, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2019-02-07",
        "status": "A",
        "authorized_official_last_name": "THALGOTT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "702-878-8370"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NV",
            "license": "5357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01259773",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100507244",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CE0313",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTER FOR DISEASES AND SURGERY OF THE SPINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.