Organization Active NPI

J Marshall Anthony DO JD LTD

  • Non-Pharmacy Dispensing Site
  • Las Vegas, NV
National Provider Identifier
1699786111
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
765 Issued in NV
Legal business name
J MARSHALL ANTHONY DO JD LTD
Practice address
3100 E Charleston Blvd
Ste 109
Las Vegas, NV 89104-6665
Phone
(702) 641-6008
Fax
(702) 641-7085
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Authorized official

Name
James Anthony
Title
Physician
Phone
(702) 641-6008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X 765 NV Primary

Addresses

Primary practice location

3100 E Charleston Blvd
Ste 109
Las Vegas, NV 89104-6665

Mailing address

3100 E Charleston Blvd
Ste 109
Las Vegas, NV 89104-6665

Other identifiers 2

IdentifierTypeStateIssuer
2990011OtherOTHER ID NUMBER-COMMERCIAL NUMBER
2990011OtherOTHER ID NUMBER

Other names 1

  • JAMES M ANTHONY DO Doing business as

National Provider Directory

National Provider Directory

Locations

3100 E Charleston Blvd
Ste 109
Las Vegas, NV 89104
Phone (702) 641-6008

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1699786111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 E CHARLESTON BLVD",
            "address_2": "STE 109",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891046665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 E CHARLESTON BLVD",
            "address_2": "STE 109",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891046665",
            "telephone_number": "702-641-6008",
            "fax_number": "702-641-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J MARSHALL ANTHONY DO JD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "702-641-6008"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NV",
            "license": "765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2990011",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2990011",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JAMES M ANTHONY DO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 19, 2007; 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.