Active NPI
John W. Daake, M.D.
- Specialist
- Reno, NV
National Provider Identifier
1225249154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- NV11475
- Practice address
- 1420 Holcomb Ave
Suite a
Reno, NV 89502-2960 - Phone
- (775) 329-3100
- Fax
- (775) 329-3199
- NPI assigned
- May 24, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NV11475 | NV | Primary |
Addresses
Primary practice location
1420 Holcomb Ave
Suite a
Reno, NV 89502-2960
Mailing address
1420 Holcomb Ave
Suite a
Reno, NV 89502-2960
Phone (775) 329-3100
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 Dec 5, 2015 through Dec 5, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NV11475 | NV | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225249154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 HOLCOMB AVE",
"address_2": "SUITE A",
"city": "RENO",
"state": "NV",
"postal_code": "895022960",
"telephone_number": "775-329-3100",
"fax_number": "775-329-3199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 HOLCOMB AVE",
"address_2": "SUITE A",
"city": "RENO",
"state": "NV",
"postal_code": "895022960",
"telephone_number": "775-329-3100",
"fax_number": "775-329-3199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAAKE",
"first_name": "JOHN",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NV",
"license": "NV11475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.