NPIMap

Organization Active NPI

Ares Advance Practice LLC

  • Primary Care Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1649867250
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ARES ADVANCE PRACTICE LLC
Practice address
10729 Sapphire Vista Ave
Las Vegas, NV 89144-4139
Phone
(702) 890-8147
Fax
(702) 659-8910
NPI assigned
Dec 29, 2020
Last updated
Dec 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Authorized official

Name
Kenneth R Ares, FNP-CNPI 1598372088
Title
Owner
Phone
(702) 890-8147

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

10729 Sapphire Vista Ave
Las Vegas, NV 89144-4139

Mailing address

8430 W Lake Mead Blvd Ste 100
Las Vegas, NV 89128-7674
Phone (702) 890-8147

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ADMIN@AAPRACTICE.NET Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210205000736 NV Part B Supplier - Clinic/Group Practice 5395159107 Receives reassigned benefits from 13 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: admin@aapractice.net

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1649867250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8430 W LAKE MEAD BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287674",
            "telephone_number": "702-890-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10729 SAPPHIRE VISTA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891444139",
            "telephone_number": "702-890-8147",
            "fax_number": "702-659-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARES ADVANCE PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "ARES",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-890-8147",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ADMIN@AAPRACTICE.NET",
            "affiliation": "N",
            "endpointDescription": "CONFIDENTIAL EMAIL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10729 Sapphire Vista Ave",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891444139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.