Active NPI
Dante Fabian Famy, APN
- Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1053545582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APN001107
- Practice address
- 7235 S Buffalo Dr
Las Vegas, NV 89113-4040 - Phone
- (702) 791-9040
- Fax
- (702) 365-3094
- NPI assigned
- May 12, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN1107 | NV | |
| Nurse Practitioner | 363L00000X | APN001107 | NV | Primary |
Addresses
Primary practice location
7235 S Buffalo Dr
Las Vegas, NV 89113-4040
Mailing address
9313 Eagle Ridge Dr
Las Vegas, NV 89134-6345
Phone (702) 326-0068
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN1107 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Urgent Care | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Las Vegas, NV
- NPI 1578478673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1053545582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9313 EAGLE RIDGE DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891346345",
"telephone_number": "702-326-0068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7235 S BUFFALO DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891134040",
"telephone_number": "702-791-9040",
"fax_number": "702-365-3094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAMY",
"first_name": "DANTE",
"middle_name": "FABIAN",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-12",
"last_updated": "2024-07-11",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "APRN1107",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "APN001107",
"primary": true
}
],
"identifiers": [],
"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 Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.