Active NPI
Daugherty Izar Cruz
- Rehabilitation Practitioner
- Las Vegas, NV
National Provider Identifier
1306612452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 9550 S Eastern Ave Ste 253
Las Vegas, NV 89123-8042 - Phone
- (702) 728-5858
- NPI assigned
- Nov 29, 2023
- Last updated
- Nov 29, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | NV | Primary |
Addresses
Primary practice location
9550 S Eastern Ave Ste 253
Las Vegas, NV 89123-8042
Mailing address
1820 Sunland Ave
Las Vegas, NV 89106-3969
Phone (702) 401-1692
Other names 1
- Dawn Cruz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1306612452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 SUNLAND AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891063969",
"telephone_number": "702-401-1692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9550 S EASTERN AVE STE 253",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891238042",
"telephone_number": "702-728-5858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "DAUGHERTY",
"middle_name": "IZAR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-29",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "NV",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAWN",
"last_name": "CRUZ",
"code": "5",
"type": "Other Name"
}
]
}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 Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.