Active NPI
David J Oliveri, M.D.
- Physical Medicine & Rehabilitation Physician
- Las Vegas, NV
National Provider Identifier
1043201031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 6819
- Practice address
- 851 S Rampart Blvd
Suite 115
Las Vegas, NV 89145-4882 - Phone
- (702) 778-9300
- Fax
- (702) 778-9301
- NPI assigned
- Oct 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 6819 | NV | Primary |
Addresses
Primary practice location
851 S Rampart Blvd
Suite 115
Las Vegas, NV 89145-4882
Mailing address
PO Box 370183
Las Vegas, NV 89137-0183
Phone (702) 778-9300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002019331 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319414400000",
"number": "1043201031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 370183",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891370183",
"telephone_number": "702-778-9300",
"fax_number": "702-778-9301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 S RAMPART BLVD",
"address_2": "SUITE 115",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891454882",
"telephone_number": "702-778-9300",
"fax_number": "702-778-9301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVERI",
"first_name": "DAVID",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2011-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NV",
"license": "6819",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002019331",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.