Anv Services LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

ANV SERVICES LLC

Doing business as

Advanced Neuro-Vision Systems

Practice address

4201 James Ray Dr
Grand Forks, ND 58202-6026

Phone

(701) 757-5132

NPI assigned

Oct 12, 2017

Last updated

Oct 12, 2017By 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

Dmitri Poltavski, PH.D

Title

Chief Research Scientist

Phone

(218) 791-9247

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Advanced Neuro-Vision Systems Doing business as

Locations

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507766400000",
    "number": "1821509274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 42ND AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582013488",
            "telephone_number": "218-791-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 JAMES RAY DR",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582026026",
            "telephone_number": "701-757-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANV SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2017-10-12",
        "status": "A",
        "authorized_official_last_name": "POLTAVSKI",
        "authorized_official_first_name": "DMITRI",
        "authorized_official_title_or_position": "CHIEF RESEARCH SCIENTIST",
        "authorized_official_telephone_number": "218-791-9247",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1518045921",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Neuro-Vision Systems",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anew Julie Riddle MSW Licsw PLLC
• Jennifer Joy Anhorn, SLP
• Rebecca Annis, LCSW
• Andrea Anthony, RN
• David R Antonenko, MD
• Beth A Anvarinia, FNP-C
• Nicole Anvinson, PA-C
• Hlina Araya
• Kenya Arends, DPT
• Esperanza S Argenziano, MD

• Rehabilitation Clinic/Center in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Rehabilitation Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; 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.