Organization Active NPI

Alpine Family Medicine, LLC

  • Family Medicine Physician
  • Sparks, NV
National Provider Identifier
1659401511
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALPINE FAMILY MEDICINE, LLC
Practice address
1959 E Prater Way
Sparks, NV 89434-8938
Phone
(775) 331-5200
Fax
(775) 331-5202
NPI assigned
Mar 7, 2007
Last updated
Mar 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Dr. Andrew J Swanson, D.O.NPI 1740267020
Title
Owner
Phone
(775) 331-5200

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1959 E Prater Way
Sparks, NV 89434-8938

Mailing address

1959 E Prater Way
Sparks, NV 89434-8938
Phone (775) 331-5200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070807000060 NV Part B Supplier - Clinic/Group Practice 2264523117 Receives reassigned benefits from 1 practitioner
Practice locations: Sparks, NV

National Provider Directory

National Provider Directory

Locations

1959 E Prater Way
Sparks, NV 89434
Phone (775) 331-5200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7649/brand/1/csg/1/fhir/r4

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": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1659401511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 E PRATER WAY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894348938",
            "telephone_number": "775-331-5200",
            "fax_number": "775-331-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 E PRATER WAY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894348938",
            "telephone_number": "775-331-5200",
            "fax_number": "775-331-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-331-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.