Anthem ASC Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ANTHEM ASC INC

Practice address

2517 E Lake Mead Blvd
North Las Vegas, NV 89030-6410

Phone

(702) 642-7711

Fax

(702) 642-8822

NPI assigned

Mar 17, 2008

Last updated

Mar 17, 2008By 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

Dr. James Daniel Carpenter, D.O.NPI 1396820007

Title

Medical Director

Phone

(702) 642-7711

Specialties & licenses 1

Addresses

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.

• James Daniel Carpenter, D.O.

  • Ophthalmology Physician
  • North Las Vegas, NV
  • NPI 1396820007
  Authorized official Same address or phone

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1811168933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 ANTHEM VILLAGE DRIVE E-594",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89052",
            "telephone_number": "702-642-7711",
            "fax_number": "702-642-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 E LAKE MEAD BLVD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890306410",
            "telephone_number": "702-642-7711",
            "fax_number": "702-642-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHEM ASC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "702-642-7711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arsenio S Angus, M.D.
• Ann Pham D.D.S., P.C. (Miracle Dental)
• Audrey Annichiarico
• Lynn Ansher, PH.D.
• Marina Antar-Shultz, D.O.
• Antioch Community Services Inc.
• Pogi Antonio
• Kevin Jukarin Anuvat, M.D.
• Lubna A Anwar, DDS
• Munachimso G Anyanwu

• Ambulatory Surgical Clinic/Center in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Ambulatory Surgical Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.