Individual provider Active NPI

Armand G Virtuoso

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1447499173
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5801 Issued in NV
Practice address
2202 W Charleston Blvd
#10
Las Vegas, NV 89102-2232
Phone
(702) 889-1381
Fax
(702) 823-5980
NPI assigned
Feb 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5801 NV Primary

Addresses

Primary practice location

2202 W Charleston Blvd
#10
Las Vegas, NV 89102-2232

Mailing address

2202 W Charleston Blvd
#10
Las Vegas, NV 89102-2232
Phone (702) 889-1381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5801NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery 2000, Mersha P.C. General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257811200000",
    "number": "1447499173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 W CHARLESTON BLVD",
            "address_2": "#10",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022232",
            "telephone_number": "702-889-1381",
            "fax_number": "702-823-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 W CHARLESTON BLVD",
            "address_2": "#10",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022232",
            "telephone_number": "702-889-1381",
            "fax_number": "702-823-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRTUOSO",
        "first_name": "ARMAND",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "5801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 10, 2009; 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.