NPIMap

Organization Active NPI

JM & JM Corp

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1386998128
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JM & JM CORP
Doing business as
Centennial Allergy Medical
Practice address
7240 W Azure Dr
Suite 165
Las Vegas, NV 89130-4404
Phone
(702) 478-7785
Fax
(702) 478-8404
NPI assigned
Nov 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Authorized official

Name
Mrs. Jenny Moya
Title
Owner
Phone
(702) 478-7785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X NV Primary

Addresses

Primary practice location

7240 W Azure Dr
Suite 165
Las Vegas, NV 89130-4404

Mailing address

7240 W Azure Dr
Suite 165
Las Vegas, NV 89130-4404
Phone (702) 478-7785

Other names 1

  • Centennial Allergy Medical Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1386998128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7240 W AZURE DR",
            "address_2": "SUITE 165",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891304404",
            "telephone_number": "702-478-7785",
            "fax_number": "702-478-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7240 W AZURE DR",
            "address_2": "SUITE 165",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891304404",
            "telephone_number": "702-478-7785",
            "fax_number": "702-478-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JM & JM CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "MOYA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-478-7785",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centennial Allergy Medical",
            "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 Mar 4, 2013; 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.