Organization Active NPI

Sierra Nevada Rheumatology, LLC

  • Rheumatology Physician
  • Reno, NV
National Provider Identifier
1699127282
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
12399 Issued in NV
Legal business name
SIERRA NEVADA RHEUMATOLOGY, LLC
Practice address
6165 Ridgeview CT Ste C
Reno, NV 89519-6332
Phone
(775) 824-9454
NPI assigned
Jul 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Authorized official

Name
Dr. Bryan Wolf, M.D.
Title
Sole Member
Phone
(775) 824-9454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 12399 NV Primary

Addresses

Primary practice location

6165 Ridgeview CT Ste C
Reno, NV 89519-6332

Mailing address

6165 Ridgeview CT Ste C
Reno, NV 89519-6332
Phone (775) 824-9454

National Provider Directory

National Provider Directory

Locations

6165 Ridgeview Ct
Ste C
Reno, NV 89519
Phone (775) 287-4379

NPI Registry JSON

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1699127282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6165 RIDGEVIEW CT STE C",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895196332",
            "telephone_number": "775-824-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6165 RIDGEVIEW CT STE C",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895196332",
            "telephone_number": "775-824-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA NEVADA RHEUMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-07",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "775-824-9454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NV",
            "license": "12399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.