Organization Active NPI

Gaben Group LLC

  • Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1588092514
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN001014 Issued in NV
Legal business name
GABEN GROUP LLC
Practice address
9017 S Pecos Rd
Ste 4425
Henderson, NV 89074-6611
Phone
(702) 988-9616
NPI assigned
Oct 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Authorized official

Name
Kiril Benliro
Title
Managing Partner
Phone
(702) 988-9616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X APRN001014 NV Primary

Addresses

Primary practice location

9017 S Pecos Rd
Ste 4425
Henderson, NV 89074-6611

Mailing address

9017 S Pecos Rd
Ste 4425
Henderson, NV 89074-6611

National Provider Directory

National Provider Directory

Locations

9017 S Pecos Rd
Ste 4425
Henderson, NV 89074
Phone (702) 988-9616

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383091200000",
    "number": "1588092514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9017 S PECOS RD",
            "address_2": "STE 4425",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9017 S PECOS RD",
            "address_2": "STE 4425",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746611",
            "telephone_number": "702-988-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABEN GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-30",
        "last_updated": "2013-10-30",
        "status": "A",
        "authorized_official_last_name": "BENLIRO",
        "authorized_official_first_name": "KIRIL",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "702-988-9616"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN001014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.