NPIMap

Organization Active NPI

Ensign Family Medicine LLC

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1659538247
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10240 Issued in NV
Legal business name
ENSIGN FAMILY MEDICINE LLC
Practice address
5771 S Fort Apache Rd
Suite #100
Las Vegas, NV 89148-5626
Phone
(702) 951-3400
Fax
(702) 951-3403
NPI assigned
May 21, 2008
Last updated
Dec 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Authorized official

Name
Dr. Sanford F White, M.D.NPI 1326079724
Title
Owner/Physician
Phone
(702) 951-3400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 10240 NV Primary

Addresses

Primary practice location

5771 S Fort Apache Rd
Suite #100
Las Vegas, NV 89148-5626

Mailing address

5771 S Fort Apache Rd
Suite #100
Las Vegas, NV 89148-5626
Phone (702) 951-3400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1659538247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5771 S FORT APACHE RD",
            "address_2": "SUITE #100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485626",
            "telephone_number": "702-951-3400",
            "fax_number": "702-951-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5771 S FORT APACHE RD",
            "address_2": "SUITE #100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485626",
            "telephone_number": "702-951-3400",
            "fax_number": "702-951-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENSIGN FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "SANFORD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "702-951-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "10240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 6, 2010; 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.