Donald Carson Hartlieb, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

5104 Issued in NV

Practice address

10521 Jeffreys St
Suite 220
Henderson, NV 89052-4180

Phone

(702) 733-8871

Fax

(702) 733-2177

NPI assigned

Aug 30, 2006

Last updated

Apr 5, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1609985530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 CHALET HILLS TER",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890526697",
            "telephone_number": "702-275-6767",
            "fax_number": "702-796-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10521 JEFFREYS ST",
            "address_2": "SUITE 220",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524180",
            "telephone_number": "702-733-8871",
            "fax_number": "702-733-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLIEB",
        "first_name": "DONALD",
        "middle_name": "CARSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "5104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002002564",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheyenne Harry
• Amber Hart
• David M Hart, M.D.
• Justin Hart, OD
• Darryl Hartfield
• Allyson Hartman, COTA/L
• Katherine Lorraine Hartman
• Nicole Marie Hartmann, PA-C
• Mary Hartsell, MFT
• Rachel Hartshorn

• Specialist in Henderson, NV
• Providers in Henderson, NV by specialty
• Specialist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.