Organization Active NPI

Staks Enterprises LLC.

  • Hearing Instrument Specialist
  • Las Vegas, NV
National Provider Identifier
1508103516
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
309 Issued in NV
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

Updated by the provider on Jan 10, 2013

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)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.