Active NPI
Arthur S Tayengco, MD Chartered
- Clinic/Center
- Las Vegas, NV
National Provider Identifier
1659618189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 2688
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002002500 | Medicaid | NV |
National Provider Directory
National Provider DirectoryNPI 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.