Active NPI
Daniel W. Halby, D.O.
- Family Medicine Physician
- Las Vegas, NV
National Provider Identifier
1134491459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 250
- Practice address
- 5524 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-7669 - Phone
- (702) 258-6229
- NPI assigned
- Feb 1, 2012
- 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 Medicine Physician | 207Q00000X | 250 | NV | Primary |
| Family Medicine Physician | 207Q00000X | 20A 4091 | CA |
Addresses
Primary practice location
5524 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-7669
Mailing address
3104 Sonia Dr
Las Vegas, NV 89107-3246
Phone (702) 258-6229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 12, 2021 through Jul 12, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A 4091 | CA | MD | Family Medicine Physician |
| 250 | NV | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328054400000",
"number": "1134491459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3104 SONIA DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891073246",
"telephone_number": "702-258-6229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5524 S FORT APACHE RD STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891487669",
"telephone_number": "702-258-6229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALBY",
"first_name": "DANIEL",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-01",
"last_updated": "2012-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "250",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A 4091",
"primary": false
}
],
"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 Feb 1, 2012; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.