Active NPI
Daliah H Wachs, MD
- Family Medicine Physician
- Henderson, NV
National Provider Identifier
1417024860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9444
- Practice address
- 874 American Pacific Dr
Henderson, NV 89014-8800 - Phone
- (702) 777-9967
- Fax
- (702) 777-2069
- NPI assigned
- Nov 29, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9444 | NV | Primary |
Addresses
Primary practice location
874 American Pacific Dr
Henderson, NV 89014-8800
Mailing address
874 American Pacific Dr
Henderson, NV 89014-8800
Phone (702) 777-9967
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002088311 | Medicaid | NV |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Family Medicine | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1598820185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459036800000",
"number": "1417024860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "874 AMERICAN PACIFIC DR",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890148800",
"telephone_number": "702-777-9967",
"fax_number": "702-777-2069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "874 AMERICAN PACIFIC DR",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890148800",
"telephone_number": "702-777-9967",
"fax_number": "702-777-2069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WACHS",
"first_name": "DALIAH",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2016-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "9444",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002088311",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.