Individual provider Active NPI

Daniel Lewis Burkhead, MD LTD

  • Interventional Pain Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1144298928
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
9100 Issued in NV
Practice address
9920 W Cheyenne Ave
Ste 110
Las Vegas, NV 89129-7725
Phone
(702) 316-2281
Fax
(702) 316-2272
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 9100 NV Primary

Addresses

Primary practice location

9920 W Cheyenne Ave
Ste 110
Las Vegas, NV 89129-7725

Mailing address

9920 W Cheyenne Ave
Ste 110
Las Vegas, NV 89129-7725
Phone (702) 316-2281

Other identifiers 1

IdentifierTypeStateIssuer
002018219MedicaidNV

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051010000262 NV Practitioner - Pain ManagementPractitioner - Anesthesiology 2769421791 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel L. Burkhead, M.D. LTD CurrentSince Oct 18, 2001 Accepting new patients
Daniel L. Burkhead, MD LTD Interventional Pain Medicine CurrentSince Aug 20, 2006 Accepting new patients
Woodward Ave., LLC PastSince Dec 12, 2011 Accepting new patients

Locations

9065 S Pecos Rd
Ste 203
Henderson, NV 89074

9065 S Pecos Rd
Ste 230
Henderson, NV 89074
Phone (702) 684-7246

3110 S Rainbow Blvd
Ste 101
Las Vegas, NV 89146
Phone (702) 316-2281

9920 W Cheyenne Ave
Ste 120
Las Vegas, NV 89129
Phone (702) 316-2281

501 S Rancho Dr
Ste G44
Las Vegas, NV 89106
Phone (702) 316-2281

9920 W Cheyenne Ave
Ste 110
Las Vegas, NV 89129
Phone (702) 316-2281

Interoperability endpoints

  • Direct secure messaging: daniel.burkhead@579.chartlogic.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1144298928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 W CHEYENNE AVE",
            "address_2": "STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297725",
            "telephone_number": "702-316-2281",
            "fax_number": "702-316-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 W CHEYENNE AVE",
            "address_2": "STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297725",
            "telephone_number": "702-316-2281",
            "fax_number": "702-316-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHEAD",
        "first_name": "DANIEL",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "MD LTD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NV",
            "license": "9100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018219",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.