Active NPI
David Ollendorff
- Obstetrics & Gynecology Physician
- Henderson, NV
National Provider Identifier
1487074829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036.051462
- Practice address
- 9 Grand Corniche Dr
Henderson, NV 89011-2005 - Phone
- (702) 914-1545
- NPI assigned
- Apr 24, 2014
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036.051462 | IL | Primary |
Addresses
Primary practice location
9 Grand Corniche Dr
Henderson, NV 89011-2005
Mailing address
9 Grand Corniche Dr
Henderson, NV 89011-2005
Phone (702) 914-1545
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.051462 | IL | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398297600000",
"number": "1487074829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 GRAND CORNICHE DR",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890112005",
"telephone_number": "702-914-1545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 GRAND CORNICHE DR",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890112005",
"telephone_number": "702-914-1545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLLENDORFF",
"first_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-24",
"last_updated": "2014-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036.051462",
"primary": true
}
],
"identifiers": [],
"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 Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.