NPIMap

Organization Active NPI

Advanced Regency Medical Center, Inc.

  • General Practice Physician
  • Houston, TX
National Provider Identifier
1861720633
Registry record updated Dec 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ADVANCED REGENCY MEDICAL CENTER, INC.
Practice address
7100 Regency Square Blvd
Suite 140
Houston, TX 77036-3202
Phone
(713) 333-3533
Fax
(713) 333-3531
NPI assigned
Dec 5, 2009
Last updated
Dec 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2009

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

Authorized official

Name
Mr. Vitaly Kucherbayev
Title
Owner
Phone
(713) 333-3533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

7100 Regency Square Blvd
Suite 140
Houston, TX 77036-3202

Mailing address

7100 Regency Square Blvd
Suite 140
Houston, TX 77036-3202
Phone (713) 333-3533

National Provider Directory

National Provider Directory

Locations

6065 Hillcroft Ave
Ste 107
Houston, TX 77081
Phone (713) 636-2240

7100 Regency Square Blvd
Ste 148
Houston, TX 77036
Phone (832) 659-0910

Practitioners & affiliated clinicians

Practitioners 6

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": "1259971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259971200000",
    "number": "1861720633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 REGENCY SQUARE BLVD",
            "address_2": "SUITE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363202",
            "telephone_number": "713-333-3533",
            "fax_number": "713-333-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 REGENCY SQUARE BLVD",
            "address_2": "SUITE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363202",
            "telephone_number": "713-333-3533",
            "fax_number": "713-333-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED REGENCY MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-05",
        "last_updated": "2009-12-05",
        "status": "A",
        "authorized_official_last_name": "KUCHERBAYEV",
        "authorized_official_first_name": "VITALY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-333-3533",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2009; 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.