Tenaya Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

3011ASC-8 Issued in NV

Legal business name

TENAYA SURGICAL CENTER, LLC

Practice address

2800 N Tenaya Way
Suite 101
Las Vegas, NV 89128-0652

Phone

(702) 838-7755

Fax

(702) 966-7766

NPI assigned

Oct 27, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Tyree Carr, MD

Title

Medical Director

Phone

(702) 838-7755

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Listed as

Tenaya Surgical Center LLCCCN 29C0001043

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brett D Brimhall, M.D.

  • Ophthalmology Physician
  • Las Vegas, NV
  • NPI 1033191853
  NPD (past)
• Todd Lincoln Jackson, M.D.

  • Ophthalmology Physician
  • Kingman, AZ
  • NPI 1609063775
  NPD (past)

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538159728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N TENAYA WAY",
            "address_2": "SUITE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280652",
            "telephone_number": "702-838-7755",
            "fax_number": "702-966-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N TENAYA WAY",
            "address_2": "SUITE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280652",
            "telephone_number": "702-838-7755",
            "fax_number": "702-966-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENAYA SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "TYREE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "702-838-7755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NV",
            "license": "3011ASC-8",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Temporary Assistance for Domestic Crisis
• Luz Tena Meza
• Maritza Tena
• Muluneh W. Tena, RN
• Tenaya Cardiovascular (Gabasha) PLLC
• Tenazcity,PC
• Michael C Tenby, M.D.
• Tender Dental Bonanaza, LLC
• Tender Dental Bonanza, LLC
• Tender Dental Boulder, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.