Jordan William Daniels, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2960 Saint Rose Pkwy Ste 120
Henderson, NV 89052-5033

Phone

(702) 558-5100

NPI assigned

Jul 26, 2022

Last updated

Jul 26, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Daniel Taheri MD PCGroup PAC ID 8325142334, 16 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.81 of 100Reported as group

Quality

97.1

Promoting interoperability

98

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: jdaniels@lalasercenter.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Daniel Taheri MD PC

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1407992217
  Medicare reassignment Care Compare group
• Daniel Taheri MD PC

  • Medical Specialty Clinic/Center
  • Mesquite, NV
  • NPI 1164057816
  NPD (past)
• Daniel Taheri MD PC

  • Non-Pharmacy Dispensing Site
  • Las Vegas, NV
  • NPI 1184259830
  NPD (past)

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1093441891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10697 W CENTENNIAL PKWY APT 2130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891661513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 SAINT ROSE PKWY STE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525033",
            "telephone_number": "702-558-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "JORDAN",
        "middle_name": "WILLIAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Taheri MD PC
• Daniel William Sims Professional Corporation (Dentistry For Children)
• Meera Solomon Daniel
• Michelle Perisse Danielian, MD
• Janice M. Daniels
• Kameron Daniels
• Nafisa Daniels
• Vasiliki L Daniels
• Charles Kim Danish, D.O.
• Danisi, Inc. (E-Z Scooter)

• Physician Assistant in Henderson, NV
• Providers in Henderson, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.