Individual provider Active NPI

Daniel J Oehler, DMD

  • General Practice Dentistry
  • Henderson, NV
National Provider Identifier
1407866346
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3578 Issued in NV
Practice address
731 Mall Ring Cir Ste 203
Henderson, NV 89014-6691
Phone
(702) 731-2757
Fax
(702) 732-4822
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3578 NV Primary

Addresses

Primary practice location

731 Mall Ring Cir Ste 203
Henderson, NV 89014-6691

Mailing address

731 Mall Ring Cir Ste 203
Henderson, NV 89014-6691
Phone (702) 731-2757

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150225002511 NV Order and Referring Only - Other (Non-Physician) 1052637675

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1407866346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 MALL RING CIR STE 203",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146691",
            "telephone_number": "702-731-2757",
            "fax_number": "702-732-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 MALL RING CIR STE 203",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146691",
            "telephone_number": "702-731-2757",
            "fax_number": "702-732-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OEHLER",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "3578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.