3LG Ventures Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

3LG VENTURES INC

Doing business as

Fallon Family Medicine

Practice address

1077 New River Pkwy
Fallon, NV 89406-6894

Phone

(757) 428-2747

Fax

(775) 428-2179

NPI assigned

Mar 22, 2023

Last updated

Sep 20, 2024By 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

Stephen Ray JensenNPI 1932161825

Title

Owner

Phone

(575) 522-1779

Specialties & licenses 1

Addresses

Other names 1

• Fallon Family Medicine Doing business as

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.

• Stephen Ray Jensen, DDS

  • General Practice Dentistry
  • Las Cruces, NM
  • NPI 1932161825
  NPD Authorized official

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1750084646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 NEW RIVER PKWY",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894066894",
            "telephone_number": "757-428-2747",
            "fax_number": "775-428-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 NEW RIVER PKWY",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894066894",
            "telephone_number": "757-428-2747",
            "fax_number": "775-428-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3LG VENTURES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-522-1779"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fallon Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fallon Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 3LG Ventures Inc (Fallon Family Medicine)
• Katherine Tope Adeojo, FNP
• Brent Allen Aikin, D.O.
• Ajay Taggar Professional Corporation
• Erhovwo Akpati

• Urgent Care Clinic/Center in Fallon, NV
• Providers in Fallon, NV by specialty
• Urgent Care Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.