Organization Active NPI

Building Intelligent Generations III

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1902003155
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BUILDING INTELLIGENT GENERATIONS III
Practice address
4080 Paradise Rd
15-297
Las Vegas, NV 89169-4834
Phone
(702) 883-9591
Fax
(702) 685-8309
NPI assigned
Jun 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Timothy Johsnon
Title
Ceo
Phone
(702) 883-9591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4080 Paradise Rd
15-297
Las Vegas, NV 89169-4834

Mailing address

4080 Paradise Rd
15-297
Las Vegas, NV 89169-4834
Phone (702) 685-7944

Other identifiers 1

IdentifierTypeStateIssuer
100510961MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
Building Intelligent Generations III2 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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1902003155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 PARADISE RD",
            "address_2": "15-297",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891694834",
            "telephone_number": "702-685-7944",
            "fax_number": "702-685-8309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 PARADISE RD",
            "address_2": "15-297",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891694834",
            "telephone_number": "702-883-9591",
            "fax_number": "702-685-8309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILDING INTELLIGENT GENERATIONS III",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "JOHSNON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-883-9591"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100510961",
            "state": "NV"
        }
    ],
    "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 Apr 29, 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.