Individual provider Active NPI

Vicente D. Narciso, M.D.

  • Surgery Physician
  • North Las Vegas, NV
National Provider Identifier
1477556553
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
16519 Issued in KS
Practice address
7368 Night Heron Way
Ward 3C
North Las Vegas, NV 89084-2496
Phone
(702) 638-0099
Fax
(702) 638-0099
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 16519 KS Primary

Addresses

Primary practice location

7368 Night Heron Way
Ward 3C
North Las Vegas, NV 89084-2496

Mailing address

7368 Night Heron Way
Ward 3C
North Las Vegas, NV 89084-2496
Phone (702) 638-0099

Other identifiers 1

IdentifierTypeStateIssuer
100083920AMedicaidKS

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16519KSMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1477556553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7368 NIGHT HERON WAY",
            "address_2": "WARD 3C",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890842496",
            "telephone_number": "702-638-0099",
            "fax_number": "702-653-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7368 NIGHT HERON WAY",
            "address_2": "WARD 3C",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890842496",
            "telephone_number": "702-638-0099",
            "fax_number": "702-638-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARCISO",
        "first_name": "VICENTE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "16519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100083920A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.