NPIMap

Organization Active NPI

Sierra Nevada ENT Associates LTD

  • Otolaryngology Physician
  • Carson City, NV
National Provider Identifier
1710075437
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
SIERRA NEVADA ENT ASSOCIATES LTD
Practice address
1493 Medical Pkwy
Carson City, NV 89703-4635
Phone
(775) 883-7666
Fax
(775) 883-0115
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Authorized official

Name
Yvonne L Meares
Title
Practice Manager
Phone
(775) 283-3341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

1493 Medical Pkwy
Carson City, NV 89703-4635

Mailing address

1493 Medical Pkwy
Carson City, NV 89703-4635
Phone (775) 883-7666

Other names 1

  • Sierra Nevada ENT Associates LTD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040212000955 NV Part B Supplier - Clinic/Group Practice 7012801699 Receives reassigned benefits from 11 practitioners
Practice locations: Carson City, NV; Fallon, NV; Gardnerville, NV; Reno, NV

National Provider Directory

National Provider Directory

Locations

1493 Medical Pkwy
Carson City, NV 89703
Phone (775) 283-3317

1520 Virginia Ranch Rd
Ste 103
Gardnerville, NV 89410
Phone (775) 782-3888

1520 Virginia Ranch Rd
#103
Gardnerville, NV 89410

10539 Professional Cir
Ste 200
Reno, NV 89521
Phone (775) 445-7026

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1710075437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1493 MEDICAL PKWY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034635",
            "telephone_number": "775-883-7666",
            "fax_number": "775-883-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1493 MEDICAL PKWY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034635",
            "telephone_number": "775-883-7666",
            "fax_number": "775-883-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA NEVADA ENT ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "MEARES",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "775-283-3341"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Nevada ENT Associates LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.