Individual provider Active NPI

Mark W Viner, M.D.

  • Psychiatry Physician
  • Sparks, NV
National Provider Identifier
1790899805
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
6983 Issued in NV
Practice address
145 Isidor CT
Suite a
Sparks, NV 89441-6304
Phone
(775) 772-6015
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 6983 NV Primary

Addresses

Primary practice location

145 Isidor CT
Suite a
Sparks, NV 89441-6304

Mailing address

145 Isidor CT
Suite a
Sparks, NV 89441-6304
Phone (775) 772-6015

Other identifiers 1

IdentifierTypeStateIssuer
1497080956OtherNVNPI TYPE 2 ORGANIZATIONAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1790899805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 ISIDOR CT",
            "address_2": "SUITE A",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894416304",
            "telephone_number": "775-772-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 ISIDOR CT",
            "address_2": "SUITE A",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894416304",
            "telephone_number": "775-772-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINER",
        "first_name": "MARK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "6983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 2 ORGANIZATIONAL",
            "identifier": "1497080956",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.