NPIMap

Organization Active NPI

J H Daulat DO PC

Doing business as Mohave Dermatology

  • Dermatology Physician
  • Mesquite, NV
National Provider Identifier
1023554185
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
363 Issued in NV
Legal business name
J H DAULAT DO PC
Doing business as
Mohave Dermatology
Practice address
340 Falcon Ridge Pkwy Ste 400-404
Mesquite, NV 89027-8850
Phone
(702) 346-5510
Fax
(702) 346-2557
NPI assigned
Jan 13, 2017
Last updated
Dec 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Authorized official

Name
Jaldeep H Daulat, DONPI 1114949492
Title
Owner
Phone
(702) 346-5510

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 363 NV Primary

Addresses

Primary practice location

340 Falcon Ridge Pkwy Ste 400-404
Mesquite, NV 89027-8850

Mailing address

9750 W Skye Canyon Park Dr
Suite 160 Box 103
Las Vegas, NV 89166
Phone (702) 683-1727

Other names 1

  • MOHAVE DERMATOLOGY Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL MohaveDerm.ema.md

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
29D2128619Mohave Dermatology-Mesquite340 Falcon Ridge Pkwy Ste 400, Mesquite, NV 89027ComplianceAug 10, 2027

National Provider Directory

National Provider Directory
Tax ID family
J H Daulat DO PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

340 Falcon Ridge Pkwy
Ste 400404
Mesquite, NV 89027
Phone (702) 346-5510

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1023554185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9750 W SKYE CANYON PARK DR",
            "address_2": "SUITE 160 BOX 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89166",
            "telephone_number": "702-683-1727",
            "fax_number": "702-974-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 FALCON RIDGE PKWY STE 400-404",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890278850",
            "telephone_number": "702-346-5510",
            "fax_number": "702-346-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J H DAULAT DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-13",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "DAULAT",
        "authorized_official_first_name": "JALDEEP",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-346-5510",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NV",
            "license": "363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MohaveDerm.ema.md",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "340 Falcon Ridge Pkwy Ste 400-404",
            "city": "Mesquite",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890278850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MOHAVE DERMATOLOGY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MOHAVE DERMATOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesquite, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.