Basic Information
| Provider Information | |||||||||
| NPI: | 1285875765 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ARCUS | ||||||||
| FirstName: | SANDI | ||||||||
| MiddleName: | CAREN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10470 W CHEYENNE AVE STE 120 | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891298733 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7022402059 | ||||||||
| FaxNumber: | 7022402065 | ||||||||
| Practice Location | |||||||||
| Address1: | 5920 S RAINBOW BLVD STE 9 | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891184209 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7023623138 | ||||||||
| FaxNumber: | 7028732050 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/13/2009 | ||||||||
| LastUpdateDate: | 12/23/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/23/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237600000X | A-1792-DISPENSING | NV | N | Speech, Language and Hearing Service Providers | Audiologist-Hearing Aid Fitter | 231H00000X | A-1792-DISPENSING | NV | Y | Speech, Language and Hearing Service Providers | Audiologist |
ID Information
| ID | Type | State | Issuer | Description | 102300063 | 05 | NV | MEDICAID |