Active NPI
New River Surgical Arts LLC
- Ambulatory Surgical Clinic/Center
- Fallon, NV
National Provider Identifier
1356542450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- PENDING
- Legal business name
- NEW RIVER SURGICAL ARTS LLC
- Practice address
- 1120 New River Parkway
Suite 100
Fallon, NV 89406 - Phone
- (602) 216-1312
- NPI assigned
- May 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dennis E Dahlen
- Title
- Sr VP Finance
- Phone
- (602) 747-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | PENDING | Primary |
Addresses
Primary practice location
1120 New River Parkway
Suite 100
Fallon, NV 89406
Mailing address
1441 N 12TH St
Phoenix, AZ 85006-2837
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1356542450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 N 12TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 NEW RIVER PARKWAY",
"address_2": "SUITE 100",
"city": "FALLON",
"state": "NV",
"postal_code": "89406",
"telephone_number": "602-216-1312"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW RIVER SURGICAL ARTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DAHLEN",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "SR VP FINANCE",
"authorized_official_telephone_number": "602-747-4000"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": "PENDING",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fallon, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.