David Mumford, M.D.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

7359 Issued in NV

Practice address

9563 Borgata Bay Blvd
Las Vegas, NV 89147-8014

Phone

(702) 818-5933

Fax

(702) 818-5934

NPI assigned

Aug 24, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Las Vegas House Calls LLC

  • Legal Medicine
  • Las Vegas, NV
  • NPI 1073526448
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1225145451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 W CRAIG RD",
            "address_2": "#113 PMB 198",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891296001",
            "telephone_number": "702-395-0405",
            "fax_number": "702-395-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9563 BORGATA BAY BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478014",
            "telephone_number": "702-818-5933",
            "fax_number": "702-818-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMFORD",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NV",
            "license": "7359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "NV1360",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100510254",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV STATE BOARD MEDICAL",
            "identifier": "7359",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Multicultural Counseling Collaborative, Inc.
• Multicultural Counseling Collaborative, Inc.
• Multicultural Counseling Collaborative, Inc.
• Mulu Chokele Professional Corporation
• Maria Del Pilar Mulvey
• Zachary J Mumford
• Sade Mumia
• Yusuf Malik Mumin, M.D
• Nicole Mummey
• Charniqua Mumphery

• Legal Medicine in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Legal Medicine in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.