Rose Orchid Medical Center PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

ROSE ORCHID MEDICAL CENTER PC

Practice address

710 Coronado Center Dr Ste 200
Henderson, NV 89052-4291

Phone

(702) 622-0395

Fax

(702) 602-6800

NPI assigned

Jan 9, 2023

Last updated

Jan 10, 2023By 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. Supriya Dasari, M.DNPI 1831622604

Title

Owner/Provider

Phone

(510) 825-2594

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Supriya Reddy Dasari, M.D.

  • Anesthesiology Physician
  • Henderson, NV
  • NPI 1831622604
  NPD Authorized official

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1932813557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 CORONADO CENTER DR STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524291",
            "telephone_number": "702-622-0395",
            "fax_number": "702-602-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 CORONADO CENTER DR STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524291",
            "telephone_number": "702-622-0395",
            "fax_number": "702-602-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE ORCHID MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "DASARI",
        "authorized_official_first_name": "SUPRIYA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "510-825-2594",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristian Rosales, COTA
• Leslie Rosales
• Star Grace Rosario
• Sharlene Rosas
• Christina Rosati, APRN
• Aaron Rose
• Deborah Lisa Rose, AUD
• Emily Rose
• Paige Rose
• Roseman University of Health Sciences

• Anesthesiology Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Anesthesiology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.