Organization Active NPI

Tann Choice Cardiovascular PLLC

  • Cardiovascular Disease Physician
  • Carson City, NV
National Provider Identifier
1265941587
Registry record updated Sep 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
11880 Issued in NV
Legal business name
TANN CHOICE CARDIOVASCULAR PLLC
Doing business as
Change of Heart Health
Practice address
2814 N Carson St
Carson City, NV 89706-0177
Phone
(775) 219-8660
NPI assigned
Sep 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2017

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

Authorized official

Name
Stephen Tann, M.D.
Title
Owner, Ceo
Phone
(775) 219-8660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 11880 NV Primary

Addresses

Primary practice location

2814 N Carson St
Carson City, NV 89706-0177

Mailing address

2814 N Carson St
Carson City, NV 89706-0177
Phone (775) 219-8660

Other identifiers 1

IdentifierTypeStateIssuer
CC4954OtherNVBLUE CROSS BLUE SHIELD

Other names 1

  • Change of Heart Health Doing business as

National Provider Directory

National Provider Directory

Locations

111 S Division St
Carson City, NV 89703
Phone (775) 219-8660

NPI Registry JSON

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506643200000",
    "number": "1265941587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 N CARSON ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897060177",
            "telephone_number": "775-219-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 N CARSON ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897060177",
            "telephone_number": "775-219-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANN CHOICE CARDIOVASCULAR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-29",
        "last_updated": "2017-09-29",
        "status": "A",
        "authorized_official_last_name": "TANN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "775-219-8660",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": "11880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "CC4954",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Change of Heart Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 29, 2017; 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.