Individual provider Active NPI

Antonio Elisarrara Perez Jr., RESPIRATORYTHERAPIST

  • Registered Respiratory Therapist
  • Las Vegas, NV
National Provider Identifier
1861074155
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
RC2720 Issued in NV
Practice address
8913 Teetering Rock Ave
Las Vegas, NV 89143-5404
Phone
(702) 886-4410
NPI assigned
Apr 26, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X RC2720 NV Primary

Addresses

Primary practice location

8913 Teetering Rock Ave
Las Vegas, NV 89143-5404

Mailing address

8913 Teetering Rock Ave
Las Vegas, NV 89143-5404
Phone (702) 886-4410

Other names 1

  • N/a N/a N/a Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RC2720NVMDRegistered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1861074155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8913 TEETERING ROCK AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891435404",
            "telephone_number": "702-886-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8913 TEETERING ROCK AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891435404",
            "telephone_number": "702-886-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ANTONIO",
        "middle_name": "ELISARRARA",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RESPIRATORYTHERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "NV",
            "license": "RC2720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "middle_name": "N/A",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Apr 26, 2021; 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.