Organization Active NPI

Clare E. Close, M.D., LTD

  • Pediatric Urology Physician
  • Henderson, NV
National Provider Identifier
1962696567
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
7840 Issued in NV
Legal business name
CLARE E. CLOSE, M.D., LTD
Practice address
2653 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-2931
Phone
(702) 220-4006
Fax
(702) 655-4005
NPI assigned
Aug 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Authorized official

Name
Clare Close, M.D.
Title
Physician
Phone
(702) 220-4006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2088P0231X 7840 NV Primary

Addresses

Primary practice location

2653 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-2931

Mailing address

2653 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-2931
Phone (702) 220-4006

Other identifiers 1

IdentifierTypeStateIssuer
002019828MedicaidNV

National Provider Directory

National Provider Directory

Locations

2629 W Horizon Ridge Pkwy
Henderson, NV 89052

2653 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 220-4006

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1962696567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2653 W HORIZON RIDGE PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522931",
            "telephone_number": "702-220-4006",
            "fax_number": "702-655-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2653 W HORIZON RIDGE PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522931",
            "telephone_number": "702-220-4006",
            "fax_number": "702-655-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARE E. CLOSE, M.D., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "CLOSE",
        "authorized_official_first_name": "CLARE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "702-220-4006",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology, Pediatric Urology",
            "state": "NV",
            "license": "7840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019828",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.