Organization Active NPI

Taheri Chang MD PC

  • Dermatology Physician
  • Las Vegas, NV
National Provider Identifier
1457590150
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
TAHERI CHANG MD PC
Practice address
5731 S Fort Apache Rd Ste C
Las Vegas, NV 89148-5620
Phone
(661) 974-8666
Fax
(661) 974-8669
NPI assigned
Feb 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Authorized official

Name
Mr. Daniel P. Taheri, M.D.
Title
Owner
Phone
(661) 974-8666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

5731 S Fort Apache Rd Ste C
Las Vegas, NV 89148-5620

Mailing address

PO Box 16297
Beverly Hills, CA 90209-2297
Phone (661) 974-8666

Other names 1

  • MESQUITE DERMATOLOGY & SKIN CANCER Doing business as

National Provider Directory

National Provider Directory

Locations

5731 S Fort Apache Rd
Ste C
Las Vegas, NV 89148
Phone (661) 974-8666

NPI Registry JSON

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1457590150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16297",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902092297",
            "telephone_number": "661-974-8666",
            "fax_number": "661-974-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5731 S FORT APACHE RD STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485620",
            "telephone_number": "661-974-8666",
            "fax_number": "661-974-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHERI CHANG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "TAHERI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-974-8666",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MESQUITE DERMATOLOGY & SKIN CANCER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.