Dominick Hurd, QBA

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

4122 Neighborly CT
North Las Vegas, NV 89032-6109

Phone

(702) 716-8005

NPI assigned

Oct 3, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

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.

• Family Si & CD

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1699293381
  NPD (past)

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506988800000",
    "number": "1780194878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 GRAY ASTER DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891223550",
            "telephone_number": "702-716-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 NEIGHBORLY CT",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890326109",
            "telephone_number": "702-716-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURD",
        "first_name": "DOMINICK",
        "credential": "QBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Hunt
• Keneka D Hunter-Spaight
• Andrell Tyrone Hunter II
• Destini Hunter
• William Christopher Hunter, LCSW
• Ammar Hussain
• Putsanee Hutchinson
• Tanya Huttman
• Craig Anthony Hutton
• Annie Le Huynh

• Community/Behavioral Health Agency in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.