Active NPI
David J Barth P.C.
- Surgical Physician Assistant
- Las Vegas, NV
National Provider Identifier
1104162643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Legal business name
- DAVID J BARTH P.C.
- Practice address
- 5455 S Fort Apache Rd Ste 108-9
Las Vegas, NV 89148-6408 - Phone
- (855) 722-7747
- NPI assigned
- Jan 2, 2013
- Last updated
- Jan 2, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David Barth
- Title
- President
- Phone
- (855) 722-7747
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | NU | Primary |
Addresses
Primary practice location
5455 S Fort Apache Rd Ste 108-9
Las Vegas, NV 89148-6408
Mailing address
5455 S Fort Apache Rd Ste 108-9
Las Vegas, NV 89148-6408
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Physician Assistant
- Henderson, NV
- NPI 1992960579
-
- Physician Assistant
- North Logan, UT
- NPI 1124309711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1357084800000",
"number": "1104162643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5455 S FORT APACHE RD STE 108-9",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891486408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5455 S FORT APACHE RD STE 108-9",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891486408",
"telephone_number": "855-722-7747"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID J BARTH P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-02",
"last_updated": "2013-01-02",
"status": "A",
"authorized_official_last_name": "BARTH",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "855-722-7747",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NU",
"license": null,
"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 Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.