NPIMap

Organization Active NPI

Lake Tahoe Orthopaedic Institute a Watson-Swanson Professional Corp

  • Durable Medical Equipment & Medical Supplies
  • Carson City, NV
National Provider Identifier
1619126240
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LAKE TAHOE ORTHOPAEDIC INSTITUTE A WATSON-SWANSON PROFESSIONAL CORP
Practice address
935 Mica Dr Ste 13
Carson City, NV 89705-7181
Phone
(775) 783-3065
Fax
(775) 267-1829
NPI assigned
Sep 18, 2008
Last updated
Mar 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Authorized official

Name
Dr. Kyle E Swanson, MDNPI 1538123492
Title
President
Phone
(530) 541-3100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

935 Mica Dr Ste 13
Carson City, NV 89705-7181

Mailing address

1111 Emerald Bay Rd
South Lake Tahoe, CA 96150-6207
Phone (530) 543-5659

Other names 1

  • DME - Carson City Other name

National Provider Directory

National Provider Directory

Locations

925 Tahoe Blvd
Ste 10510
Incline Village, NV 89451

925 Tahoe Blvd
Ste 106
Incline Village, NV 89451

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1619126240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 EMERALD BAY RD",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506207",
            "telephone_number": "530-543-5659",
            "fax_number": "530-541-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 MICA DR STE 13",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897057181",
            "telephone_number": "775-783-3065",
            "fax_number": "775-267-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE TAHOE ORTHOPAEDIC INSTITUTE A WATSON-SWANSON PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-541-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DME - Carson City",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.