Organization Active NPI

Arthur S Tayengco, MD Chartered

  • Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1659618189
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2688 Issued in NV
Legal business name
ARTHUR S TAYENGCO, MD CHARTERED
Practice address
3515 W Charleston Blvd
Las Vegas, NV 89102-1839
Phone
(702) 382-1033
Fax
(702) 382-9507
NPI assigned
Jan 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Authorized official

Name
Dr. Arthur S Tayengco, M.D.
Title
President
Phone
(702) 382-1033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2688 NV Primary

Addresses

Primary practice location

3515 W Charleston Blvd
Las Vegas, NV 89102-1839

Mailing address

3515 W Charleston Blvd
Las Vegas, NV 89102-1839
Phone (702) 382-1033

Other identifiers 1

IdentifierTypeStateIssuer
002002500MedicaidNV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1659618189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021839",
            "telephone_number": "702-382-1033",
            "fax_number": "702-382-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021839",
            "telephone_number": "702-382-1033",
            "fax_number": "702-382-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHUR S TAYENGCO, MD CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-03",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "TAYENGCO",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-382-1033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NV",
            "license": "2688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002002500",
            "state": "NV"
        }
    ],
    "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 Jan 3, 2013; 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.