Individual provider Active NPI

Phillip Elliot Dahan, M.D.

  • Specialist
  • Reno, NV
National Provider Identifier
1598821704
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
9720 Issued in NV
Practice address
6770 S McCarran Blvd
Ste 202
Reno, NV 89509-6103
Phone
(775) 826-4477
Fax
(775) 826-4436
NPI assigned
Dec 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 9720 NV Primary

Addresses

Primary practice location

6770 S McCarran Blvd
Ste 202
Reno, NV 89509-6103

Mailing address

6770 S McCarran Blvd
Ste 202
Reno, NV 89509-6103
Phone (775) 826-4477

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111219000149 NV Practitioner - Plastic and Reconstructive Surgery 5799860458

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Nevada Plastic Surgery Associates Specialist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598821704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 S MCCARRAN BLVD",
            "address_2": "STE 202",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096103",
            "telephone_number": "775-826-4477",
            "fax_number": "775-826-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 S MCCARRAN BLVD",
            "address_2": "STE 202",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096103",
            "telephone_number": "775-826-4477",
            "fax_number": "775-826-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHAN",
        "first_name": "PHILLIP",
        "middle_name": "ELLIOT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "9720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.