Democracy Prep Agassi Campus

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

DEMOCRACY PREP AGASSI CAMPUS

Doing business as

Democracy Prep at the Agassi Campus

Practice address

1201 W Lake Mead Blvd
Las Vegas, NV 89106-2411

Phone

(702) 316-2410

NPI assigned

Jun 18, 2019

Organization subpart

No

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

Authorized official

Name

Ellie M Grose

Title

Director of Special Education

Phone

(347) 501-0187

Specialties & licenses 1

Addresses

Other names 1

• Democracy Prep at the Agassi Campus Doing business as

Locations

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1649830944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W LAKE MEAD BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W LAKE MEAD BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062411",
            "telephone_number": "702-316-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMOCRACY PREP AGASSI CAMPUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "GROSE",
        "authorized_official_first_name": "ELLIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL EDUCATION",
        "authorized_official_telephone_number": "347-501-0187"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Democracy Prep at the Agassi Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie Demirjian
• Sohik Demirjian
• Munira Demissie
• Jessica Demke, LCSW
• Jaymonisha Demmons
• Christina A Demopoulos, DDS
• Kelly Demos
• Andrea Lee Dempsey, MD
• Sean Edward Dempsey, MD
• Lloyd Dempster

• Local Education Agency (LEA) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Local Education Agency (LEA) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.