NPIMap

Organization Active NPI

Vail Plastic & Cosmetic Surgery Center

Doing business as Mangat Plastic Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Edwards, CO
National Provider Identifier
1407139769
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
VAIL PLASTIC & COSMETIC SURGERY CENTER
Doing business as
Mangat Plastic Surgery Center
Practice address
0056 Edwards Village Blvd
Suite #6
Edwards, CO 81632
Phone
(970) 766-3223
Fax
(970) 766-3225
NPI assigned
Sep 23, 2011
Last updated
Sep 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Authorized official

Name
Dr. Devinder S. Mangat, M.D.
Title
President
Phone
(970) 766-3223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

0056 Edwards Village Blvd
Suite #6
Edwards, CO 81632

Mailing address

0056 Edwards Village Blvd
Suite #6
Edwards, CO 81632
Phone (970) 766-3223

Other names 1

  • Mangat Plastic Surgery Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mangat Plastic Surgery Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

56 Edwards Village Blvd
Ste 6
Edwards, CO 81632
Phone (970) 766-3223

NPI Registry JSON

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1407139769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "0056 EDWARDS VILLAGE BLVD",
            "address_2": "SUITE #6",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "81632",
            "telephone_number": "970-766-3223",
            "fax_number": "970-766-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "0056 EDWARDS VILLAGE BLVD",
            "address_2": "SUITE #6",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "81632",
            "telephone_number": "970-766-3223",
            "fax_number": "970-766-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAIL PLASTIC & COSMETIC SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "MANGAT",
        "authorized_official_first_name": "DEVINDER",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-766-3223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mangat Plastic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edwards, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.