Active NPI
Terry G Pfau, D.O., H.M.D.
- General Practice Physician
- Las Vegas, NV
National Provider Identifier
1396940557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 392
- Practice address
- 2820 W Charleston Blvd
Ste 6
Las Vegas, NV 89102-1942 - Phone
- (702) 258-7860
- Fax
- (702) 258-5487
- NPI assigned
- Jun 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 392 | NV | Primary |
Addresses
Primary practice location
2820 W Charleston Blvd
Ste 6
Las Vegas, NV 89102-1942
Mailing address
2820 W Charleston Blvd
Ste 6
Las Vegas, NV 89102-1942
Phone (702) 258-7860
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 Sep 27, 2014 through Sep 27, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237852800000",
"number": "1396940557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 W CHARLESTON BLVD",
"address_2": "STE 6",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021942",
"telephone_number": "702-258-7860",
"fax_number": "702-258-5487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 W CHARLESTON BLVD",
"address_2": "STE 6",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021942",
"telephone_number": "702-258-7860",
"fax_number": "702-258-5487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFAU",
"first_name": "TERRY",
"middle_name": "G",
"credential": "D.O., H.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-18",
"last_updated": "2009-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NV",
"license": "392",
"primary": true
}
],
"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 Mar 24, 2009; 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.