Active NPI
Staks Enterprises LLC.
- Hearing Instrument Specialist
- Las Vegas, NV
National Provider Identifier
1508103516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 309
- Legal business name
- STAKS ENTERPRISES LLC.
- Practice address
- 7500 W Lake Mead Blvd Ste 3
Las Vegas, NV 89128-0299 - Phone
- (702) 456-0002
- NPI assigned
- Jan 10, 2013
- 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
- Mrs. Alice Penelope Moloney
- Title
- Office Manager
- Phone
- (702) 456-0002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 309 | NV | Primary |
Addresses
Primary practice location
7500 W Lake Mead Blvd Ste 3
Las Vegas, NV 89128-0299
Mailing address
PO Box 36252
Las Vegas, NV 89133-6252
Phone (702) 456-0002
Other names 1
- Miracle Ear
National Provider Directory
National Provider DirectoryLocations
7500 W Lake Mead Blvd
Ste 3
Las Vegas, NV 89128
Phone (702) 456-0002
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hearing Instrument Specialist
- Las Vegas, NV
- NPI 1821346412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1357776000000",
"number": "1508103516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36252",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891336252",
"telephone_number": "702-456-0002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 W LAKE MEAD BLVD STE 3",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280299",
"telephone_number": "702-456-0002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAKS ENTERPRISES LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-10",
"last_updated": "2013-01-10",
"status": "A",
"authorized_official_last_name": "MOLONEY",
"authorized_official_first_name": "ALICE",
"authorized_official_middle_name": "PENELOPE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "702-456-0002",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hearing Instrument Specialist",
"state": "NV",
"license": "309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Miracle Ear",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jan 10, 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.