Organization Active NPI

David J. Oliveri, M.D., PC

  • Physical Medicine & Rehabilitation Physician
  • Las Vegas, NV
National Provider Identifier
1720045198
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
DAVID J. OLIVERI, M.D., PC
Practice address
851 S Rampart Blvd
Suite 115
Las Vegas, NV 89145-4882
Phone
(702) 778-9300
Fax
(702) 778-9301
NPI assigned
Apr 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Authorized official

Name
David J Oliveri, M.D.
Title
Owner
Phone
(702) 778-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

851 S Rampart Blvd
Suite 115
Las Vegas, NV 89145-4882

Mailing address

PO Box 370183
Las Vegas, NV 89137-0183
Phone (702) 778-9300

Other identifiers 1

IdentifierTypeStateIssuer
100502158MedicaidNV

National Provider Directory

National Provider Directory

Locations

851 S Rampart Blvd
Ste 115
Las Vegas, NV 89145
Phone (702) 778-9300

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1720045198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370183",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891370183",
            "telephone_number": "702-778-9300",
            "fax_number": "702-778-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 S RAMPART BLVD",
            "address_2": "SUITE 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891454882",
            "telephone_number": "702-778-9300",
            "fax_number": "702-778-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J. OLIVERI, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "OLIVERI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-778-9300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100502158",
            "state": "NV"
        }
    ],
    "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 Oct 24, 2011; 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.