NPIMap

Organization Active NPI

Duke Forage Anson Neurosurgical LLP

Doing business as The Spine and Brain Institute

  • Neurological Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1649777608
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
DUKE FORAGE ANSON NEUROSURGICAL LLP
Doing business as
The Spine and Brain Institute
Practice address
8530 W Sunset Rd Ste 250
Las Vegas, NV 89113-2245
Phone
(702) 851-0792
Fax
(702) 851-0797
NPI assigned
Apr 6, 2018
Last updated
Apr 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Authorized official

Name
Derek A DukeNPI 1619934916
Title
Partner Owner & Provider
Phone
(702) 896-0940

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
Neurological Surgery Physician 207T00000X NU Primary

Addresses

Primary practice location

8530 W Sunset Rd Ste 250
Las Vegas, NV 89113-2245

Mailing address

PO Box 95306
Las Vegas, NV 89193-5306
Phone (702) 851-0792

Other identifiers 1

IdentifierTypeStateIssuer
1194055442MedicaidNV

Other names 1

  • The Spine and Brain Institute Doing business as

National Provider Directory

National Provider Directory

Locations

861 Coronado Center Dr
Ste 200
Henderson, NV 89052
Phone (702) 896-0940

3150 N Tenaya Way
Ste 525
Las Vegas, NV 89128
Phone (702) 220-9865

Practitioners & affiliated clinicians

Practitioners 6

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": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1649777608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95306",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891935306",
            "telephone_number": "702-851-0792",
            "fax_number": "702-851-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 W SUNSET RD STE 250",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132245",
            "telephone_number": "702-851-0792",
            "fax_number": "702-851-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUKE FORAGE ANSON NEUROSURGICAL LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "DUKE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER OWNER & PROVIDER",
        "authorized_official_telephone_number": "702-896-0940"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194055442",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Spine and Brain Institute",
            "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 Apr 6, 2018; 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.