Active NPI
David C. Melvin, M.D.
- Emergency Medicine Physician
- Las Vegas, NV
National Provider Identifier
1710067665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 11036
- Practice address
- 3186 S Maryland Pkwy
Department of Emergency Services
Las Vegas, NV 89109-2317 - Phone
- (702) 731-8080
- Fax
- (702) 893-4736
- NPI assigned
- Oct 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 11036 | NV | Primary |
Addresses
Primary practice location
3186 S Maryland Pkwy
Department of Emergency Services
Las Vegas, NV 89109-2317
Mailing address
3196 S Maryland Pkwy
Suite 107
Las Vegas, NV 89109-2305
Phone (702) 893-3833
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11036 | NV | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Emergency Services, Inc. | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1346459104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1710067665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3196 S MARYLAND PKWY",
"address_2": "SUITE 107",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891092305",
"telephone_number": "702-893-3833",
"fax_number": "702-893-4736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3186 S MARYLAND PKWY",
"address_2": "DEPARTMENT OF EMERGENCY SERVICES",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891092317",
"telephone_number": "702-731-8080",
"fax_number": "702-893-4736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELVIN",
"first_name": "DAVID",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NV",
"license": "11036",
"primary": true
}
],
"identifiers": [],
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.