Organization Active NPI

Star Primary Care, L.L.C.

Doing business as Star Family Care

  • Family Medicine Physician
  • Henderson, NV
National Provider Identifier
1629265038
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9009 Issued in NV
Legal business name
STAR PRIMARY CARE, L.L.C.
Doing business as
Star Family Care
Practice address
2645 W Horizon Ridge Pkwy
Suite 120
Henderson, NV 89052-2898
Phone
(702) 614-1800
Fax
(702) 614-1888
NPI assigned
Sep 29, 2007
Last updated
May 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Dr. Stanley William Pierce Jr., M.D.
Title
Manager
Phone
(702) 614-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9009 NV Primary

Addresses

Primary practice location

2645 W Horizon Ridge Pkwy
Suite 120
Henderson, NV 89052-2898

Mailing address

2645 W Horizon Ridge Pkwy
Suite 120
Henderson, NV 89052-2898
Phone (702) 614-1800

Other identifiers 1

IdentifierTypeStateIssuer
08015227OtherNVRAILROAD MEDICARE NUMBER

Other names 1

  • Star Family Care Doing business as

National Provider Directory

National Provider Directory

Locations

2645 W Horizon Ridge Pkwy
Ste 120
Henderson, NV 89052
Phone (702) 614-1800

Practitioners & affiliated clinicians

Practitioners 1

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": "1191024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1629265038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522898",
            "telephone_number": "702-614-1800",
            "fax_number": "702-614-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522898",
            "telephone_number": "702-614-1800",
            "fax_number": "702-614-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR PRIMARY CARE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-29",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-614-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "9009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "08015227",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Star Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 7, 2008; 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.