Vail Plastic & Cosmetic Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

33471 Issued in CO

Legal business name

VAIL PLASTIC & COSMETIC SURGERY CENTER

Practice address

56 Edwards Village Boulevard
#226
Edwards, CO 81632-7804

Phone

(970) 766-3223

Fax

(970) 766-3225

NPI assigned

Nov 8, 2011

Organization subpart

No

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 2

Addresses

Other names 1

• Mangat Plastic Surgery Center Doing business as

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.

• Mangat Plastic Surgery Center

  • Specialist
  • Edwards, CO
  • NPI 1124290358
  NPD tax ID
• Vail Plastic & Cosmetic Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Edwards, CO
  • NPI 1407139769
  NPD tax ID

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1437436201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 EDWARDS VILLAGE BOULEVARD",
            "address_2": "#226",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816327804",
            "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": "56 EDWARDS VILLAGE BOULEVARD",
            "address_2": "#226",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816327804",
            "telephone_number": "970-766-3223",
            "fax_number": "970-766-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAIL PLASTIC & COSMETIC SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "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": "2082S0099X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CO",
            "license": "33471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mangat Plastic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vail Clinic, Inc.
• Vail Infectious Disease, P.C.
• Vail Med Inc
• Vail Oral and Maxillofacial Radiology, LLC
• Vail Plastic & Cosmetic Surgery Center
• Vail Summit Orthopaedics
• Vail Valley Ear Nose and Throat Group
• Vail Valley Oral and Maxillofacial Surgery, Professional L.L.C.
• Vail Valley Pharmacy
• Vail Valley Speech Therapy

• Ambulatory Surgical Clinic/Center in Edwards, CO
• Providers in Edwards, CO by specialty
• Ambulatory Surgical Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.