Organization Active NPI

Vip Vascular, PLLC

  • Specialist
  • Carson City, NV
National Provider Identifier
1447615471
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
12707 Issued in NV
Legal business name
VIP VASCULAR, PLLC
Doing business as
Nevada neurology & Vascular Center
Practice address
1761 College Pkwy Ste 115
Carson City, NV 89706-7954
Phone
(775) 501-8911
Fax
(775) 357-9387
NPI assigned
Dec 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Aaron Carl Heide, M.D.
Title
M.D./Owner
Phone
(775) 501-8911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 12707 NV Primary

Addresses

Primary practice location

1761 College Pkwy Ste 115
Carson City, NV 89706-7954

Mailing address

1761 College Pkwy Ste 115
Carson City, NV 89706-7954
Phone (775) 501-8911

Other names 1

  • Nevada neurology & Vascular Center Doing business as

National Provider Directory

National Provider Directory

Locations

1761 College Pkwy
Carson City, NV 89706

1761 College Pkwy
Ste 115
Carson City, NV 89706
Phone (775) 501-8911

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1447615471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 COLLEGE PKWY STE 115",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897067954",
            "telephone_number": "775-501-8911",
            "fax_number": "775-357-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 COLLEGE PKWY STE 115",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897067954",
            "telephone_number": "775-501-8911",
            "fax_number": "775-357-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP VASCULAR, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HEIDE",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "M.D./OWNER",
        "authorized_official_telephone_number": "775-501-8911",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NV",
            "license": "12707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada neurology & Vascular Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.