Ac Dionisio, MD Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

11926 Issued in NV

Legal business name

AC DIONISIO, MD INC.

Practice address

4240 Simmons St.
N. Las Vegas, NV 89032

Phone

(702) 635-1222

NPI assigned

Apr 10, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angelito DionisioNPI 1114957479

Title

President

Phone

(702) 635-1222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

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.

• Angelito J Dionisio, M.D.

  • Internal Medicine Physician
  • N Las Vegas, NV
  • NPI 1114957479
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689897472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 CANARY WHARF DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891781276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 SIMMONS ST.",
            "city": "N. LAS VEGAS",
            "state": "NV",
            "postal_code": "89032",
            "telephone_number": "702-635-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AC DIONISIO, MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIONISIO",
        "authorized_official_first_name": "ANGELITO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-635-1222"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "11926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in N Las Vegas, NV
• Providers in N Las Vegas, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.