Active NPI
Clare E Close, M.D.
- Pediatric Urology Physician
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Urology Physician
- License
- 7840
- Practice address
- 2653 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-2931 - Phone
- (702) 220-4006
- Fax
- (702) 655-4005
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Urology Physician | 2088P0231X | 0101280695 | VA | |
| Specialist | 174400000X | 7840 | NV | |
| Pediatric Urology Physician | 2088P0231X | 7840 | NV | Primary |
Addresses
Primary practice location
2653 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-2931
Mailing address
2653 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-2931
Phone (702) 220-4006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002019828 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7840 | NV | MD | Specialist |
| 0101280695 | VA | MD | Pediatric Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedish Health Services | Current | Accepting new patients | |
| Swedish Health Services | Past | Accepting new patients |
Locations
7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800
13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700
751 NE Blakely Dr
Ste 5010
Issaquah, WA 98029
Phone (425) 394-0700
1101 Madison St
Ste 800
Seattle, WA 98104
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
Interoperability endpoints
- cclose3444218@wm.providencedirect.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- Seattle, WA
- NPI 1689612954
-
- Surgery Physician
- Seattle, WA
- NPI 1053368571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1346308947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2653 W HORIZON RIDGE PKWY STE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890522931",
"telephone_number": "702-220-4006",
"fax_number": "702-655-4005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2653 W HORIZON RIDGE PKWY STE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890522931",
"telephone_number": "702-220-4006",
"fax_number": "702-655-4005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOSE",
"first_name": "CLARE",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "VA",
"license": "0101280695",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NV",
"license": "7840",
"primary": false
},
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "NV",
"license": "7840",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002019828",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.