Active NPI
Rex Garn Mabey Jr M.D. Chartered
- Gynecology Physician
- Las Vegas, NV
National Provider Identifier
1932160959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 5758
- Legal business name
- REX GARN MABEY JR M.D. CHARTERED
- Practice address
- 2881 N Tenaya Way
Las Vegas, NV 89128-0452 - Phone
- (702) 242-8800
- Fax
- (702) 242-8949
- NPI assigned
- Mar 29, 2006
- Reactivated
- Apr 11, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rex Garn Mabey Jr., M.D.
- Title
- Owner/President
- Phone
- (702) 242-8800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 5758 | NV | Primary |
Addresses
Primary practice location
2881 N Tenaya Way
Las Vegas, NV 89128-0452
Mailing address
2881 N Tenaya Way
Las Vegas, NV 89128-0452
Phone (702) 242-8800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2002342 | Medicaid | NV | |
| 1720048549 | Other | NV | INDIVIDUAL NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- NPI 1720048549
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- NPI 1811343759
-
- Neurology Physician
- Las Vegas, NV
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302480000000",
"number": "1932160959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2881 N TENAYA WAY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280452",
"telephone_number": "702-242-8800",
"fax_number": "702-242-8949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2881 N TENAYA WAY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280452",
"telephone_number": "702-242-8800",
"fax_number": "702-242-8949"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REX GARN MABEY JR M.D. CHARTERED",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-29",
"last_updated": "2011-04-11",
"deactivation_date": "2008-08-05",
"reactivation_date": "2011-04-11",
"status": "A",
"authorized_official_last_name": "MABEY",
"authorized_official_first_name": "REX",
"authorized_official_middle_name": "GARN",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "702-242-8800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NV",
"license": "5758",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2002342",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1720048549",
"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 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.