NPIMap

Organization Active NPI

Sunset Pain Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1821560434
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SUNSET PAIN SURGERY CENTER
Practice address
5852 S Durango Dr Ste 100
Las Vegas, NV 89113-2317
Phone
(702) 936-3669
NPI assigned
Dec 20, 2018
Last updated
Nov 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Grant Cook
Title
Manager
Phone
(480) 766-6819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

5852 S Durango Dr Ste 100
Las Vegas, NV 89113-2317

Mailing address

7220 S Cimarron Rd Ste 270
Las Vegas, NV 89113-2160

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200130002613 NV Part B Supplier - Ambulatory Surgical Center 2961838537 Practice locations: Las Vegas, NV

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Sunset Pain Surgery CenterCCN 29C0001125
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Canyon Ridge Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5852 S Durango Dr
Las Vegas, NV 89113

9120 W Russell Rd
Unit 100
Las Vegas, NV 89148
Phone (702) 251-9417

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1821560434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 S CIMARRON RD STE 270",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5852 S DURANGO DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132317",
            "telephone_number": "702-936-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET PAIN SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-20",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-766-6819"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.