Active NPI
Vip Vascular, PLLC
- Specialist
- Carson City, NV
National Provider Identifier
1447615471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 12707
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
National Provider Directory
National Provider DirectoryLocations
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.