Jack Anstandig MD Professional Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

13232 Issued in NV

Legal business name

JACK ANSTANDIG MD PROFESSIONAL CORPORATION

Practice address

8475 S Eastern Ave
Suite 202
Las Vegas, NV 89123-2862

Phone

(866) 972-5182

Fax

(866) 972-5183

NPI assigned

Sep 4, 2009

Organization subpart

No

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

Authorized official

Name

Jack Anstandig, M.D.

Title

Director

Phone

(866) 972-5182

Specialties & licenses 1

Addresses

Other names 1

• BodyLogicMD of Las vegas Doing business as

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

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1992038152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8475 S EASTERN AVE",
            "address_2": "SUITE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232862",
            "telephone_number": "866-972-5182",
            "fax_number": "866-972-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8475 S EASTERN AVE",
            "address_2": "SUITE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232862",
            "telephone_number": "866-972-5182",
            "fax_number": "866-972-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK ANSTANDIG MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-04",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "ANSTANDIG",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "866-972-5182",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NV",
            "license": "13232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BodyLogicMD of Las vegas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Celine Jabro, PHARMACIST
• Cynthia Jacinto-Andrade
• Andrew Richard Jacinto, DPT
• Emerlita Jacinto
• Jesse Christian Megia Jacinto
• Jack D. Close and Associates
• Jack E Abrams M D Professional Corporation
• Chantoria Jack
• Lonisha Jack
• Sadona Helen Jacklin, APRN

• Specialist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Specialist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; 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.