Granite Surgery Center

Primary specialty

Ambulatory Fertility FacilityTaxonomy code 261QA0006X

License

5710 Issued in NV

Legal business name

GRANITE SURGERY CENTER

Practice address

8851 W Sahara Ave Ste 100
Las Vegas, NV 89117-5865

Phone

(702) 254-1197

Fax

(702) 228-2678

NPI assigned

Mar 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Shapiro, MD PHD

Title

Partner

Phone

(702) 254-1197

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1467793182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8851 W SAHARA AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175865",
            "telephone_number": "702-254-1197",
            "fax_number": "702-228-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 W SAHARA AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175865",
            "telephone_number": "702-254-1197",
            "fax_number": "702-228-2678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "702-254-1197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "261QA0006X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Fertility Facility",
            "state": "NV",
            "license": "5710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Granger, PA
• Brandon Granil, APRN
• Nancy Granillo-Anaya
• Melizza Granillo
• Granite Sahara Surgical Center, LLC
• Diane Grano
• Irvin Shuhei Granstrom, MFT-I, CADC-I
• Kailey Jia Xin Granstrom, MFT-I
• Grant a Gift Autism Foundation
• Angel D Grant, CASE MANAGER

• Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.