Individual provider Active NPI

Daniel L Hallman, DPM

  • Foot & Ankle Surgery Podiatrist
  • Las Vegas, NV
National Provider Identifier
1427597079
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2054 Issued in NV
Practice address
1700 E Desert Inn Rd Ste 103
Las Vegas, NV 89169-3206
Phone
(888) 880-3451
Fax
(310) 496-0818
NPI assigned
Feb 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2054 NV Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 135000944 IL

Addresses

Primary practice location

1700 E Desert Inn Rd Ste 103
Las Vegas, NV 89169-3206

Mailing address

1700 E Desert Inn Rd Ste 103
Las Vegas, NV 89169-3206
Phone (888) 880-3451

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200425000037 NV Practitioner - Podiatry 5799115135 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
135000944ILMDFoot & Ankle Surgery Podiatrist
2054NVMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Global Wound Care Medical Group CurrentSince Mar 15, 2023 Accepting new patients

Locations

5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861

1700 E Desert Inn Rd
Ste 103
Las Vegas, NV 89169
Phone (702) 734-8511

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1427597079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E DESERT INN RD STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693206",
            "telephone_number": "888-880-3451",
            "fax_number": "310-496-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E DESERT INN RD STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693206",
            "telephone_number": "888-880-3451",
            "fax_number": "310-496-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLMAN",
        "first_name": "DANIEL",
        "middle_name": "L",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-15",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NV",
            "license": "2054",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "135000944",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.