Active NPI
David Dijohn, MD
- Pediatric Infectious Diseases Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Infectious Diseases Physician
- License
- 156788
- Practice address
- 1524 Pinto LN FL 3
Las Vegas, NV 89106-4195 - Phone
- (702) 992-6868
- NPI assigned
- May 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 15067 | NV | |
| Pediatrics Physician | 208000000X | 156788 | NY | |
| Pediatric Infectious Diseases Physician | 2080P0208X | 156788 | NY | Primary |
Addresses
Primary practice location
1524 Pinto LN FL 3
Las Vegas, NV 89106-4195
Mailing address
3016 W Charleston Blvd Ste 205
Las Vegas, NV 89102-1963
Phone (702) 780-2311
Other practice location 1
3006 S Maryland Pkwy
Suite 315
Las Vegas, NV 89109-2218
Phone (702) 992-6868
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15067 | Other | NV | NV MEDICAL LICENSE |
| 1699722819 | Medicaid | NV | |
| 01454342 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 156788 | NY | MD | Pediatric Infectious Diseases Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unlv Medicine | Current | Accepting new patients | |
| Unlv Medicine | Current | Accepting new patients | |
| Unlv Medicine | Current | Accepting new patients | |
| Richmond University Medical Center | Past | Accepting new patients |
Locations
3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000
1707 W Charleston Blvd
Ste 110
Las Vegas, NV 89102
Phone (702) 671-2300
3016 W Charleston Blvd
Ste 205
Las Vegas, NV 89102
Phone 7027802312 ext. 2312
1524 Pinto Ln
Fl 3
Las Vegas, NV 89106
Phone (702) 944-2828
2410 Fire Mesa St
Ste 180
Las Vegas, NV 89128
Phone (702) 202-2700
5380 S Rainbow Blvd
Ste 324
Las Vegas, NV 89118
Phone (702) 992-6828
1701 W Charleston Blvd
Ste 250
Las Vegas, NV 89102
Phone (702) 671-2341
Interoperability endpoints
- ddijohn18602@direct.umcsn.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1407397235
-
- Community/Retail Pharmacy
- Las Vegas, NV
- NPI 1184152274
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Las Vegas, NV
- NPI 1538694575
-
- Multi-Specialty Clinic/Center
- Staten Island, NY
- NPI 1811054042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549411200000",
"number": "1699722819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3016 W CHARLESTON BLVD STE 205",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021963",
"telephone_number": "702-780-2311",
"fax_number": "702-895-4014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 PINTO LN FL 3",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064195",
"telephone_number": "702-992-6868"
}
],
"practiceLocations": [
{
"address_1": "3006 S Maryland Pkwy",
"address_2": "Suite 315",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891092218",
"country_code": "US",
"telephone_number": "702-992-6868",
"fax_number": "702-992-6860",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIJOHN",
"first_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2019-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NV",
"license": "15067",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "156788",
"primary": false
},
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "NY",
"license": "156788",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NV MEDICAL LICENSE",
"identifier": "15067",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1699722819",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01454342",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
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 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.