Desert Sage Medical

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

6493 Issued in NV

Legal business name

DESERT SAGE MEDICAL

Practice address

844 W Nye LN
#201
Carson City, NV 89703-1544

Phone

(775) 884-2929

Fax

(775) 884-0426

NPI assigned

Jul 15, 2005

Last updated

Aug 11, 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. John Kevin Bower, M.D.

Title

Owner

Phone

(775) 884-2929

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1881693570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 W NYE LN",
            "address_2": "#201",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897031544",
            "telephone_number": "775-884-2929",
            "fax_number": "775-884-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 W NYE LN",
            "address_2": "#201",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897031544",
            "telephone_number": "775-884-2929",
            "fax_number": "775-884-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT SAGE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "BOWER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-884-2929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "6493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002013038",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Depaulis
• Deputy Optics, Inc.
• Wesley T Deputy, OPTICIAN
• Sandra Deselle, O.D.
• Desert Bloom Pediatrics
• Desert Valley Family Practice
• Rachael Desmidt
• Laura Ann Deverse, R.D.
• Mithun Gopal Devraj, M.D
• Kathleen Dewinter

• Family Medicine Physician in Carson City, NV
• Providers in Carson City, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.