Organization Active NPI

Single Day Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1932183266
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
3454ASC2 Issued in NV
Legal business name
SINGLE DAY SURGERY CENTER LLC
Practice address
6950 W Desert Inn Rd
Suite 100
Las Vegas, NV 89117-3171
Phone
(702) 368-6000
Fax
(702) 368-6010
NPI assigned
Nov 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Daniel Kunil Kim, MDNPI 1588642581
Title
Administrator
Phone
(702) 368-6600

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)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 3454ASC2 NV Primary

Addresses

Primary practice location

6950 W Desert Inn Rd
Suite 100
Las Vegas, NV 89117-3171

Mailing address

PO Box 50485
Henderson, NV 89016-0485
Phone (702) 368-6000

Other identifiers 3

IdentifierTypeStateIssuer
100501263MedicaidNV
490005763OtherNVRAILROAD MEDICARE
CC5639OtherNVBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060120000173 NV Part B Supplier - Ambulatory Surgical Center 9638193386 Practice locations: Las Vegas, NV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D1014750Single Day Surgery Center6950 W Desert Inn Rd Ste 100, Las Vegas, NV 89117Certificate of waiverJul 14, 2027

National Provider Directory

National Provider Directory

Locations

6950 W Desert Inn Rd
Ste 100
Las Vegas, NV 89117
Phone (702) 368-6000

Practitioners & affiliated clinicians

Practitioners 1

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": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1932183266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50485",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890160485",
            "telephone_number": "702-368-6000",
            "fax_number": "702-368-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 W DESERT INN RD",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173171",
            "telephone_number": "702-368-6000",
            "fax_number": "702-368-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINGLE DAY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "KUNIL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-368-6600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NV",
            "license": "3454ASC2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100501263",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490005763",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "CC5639",
            "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 Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.