Individual provider Active NPI

David J. Davis, M.D.

  • Diagnostic Radiology Physician
  • Las Vegas, NV
National Provider Identifier
1801906359
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
13735 Issued in NV
Practice address
3560 E Flamingo Rd
Ste. 100
Las Vegas, NV 89121-0201
Phone
(702) 433-6100
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 13735 NV Primary

Addresses

Primary practice location

3560 E Flamingo Rd
Ste. 100
Las Vegas, NV 89121-0201

Mailing address

2080 Bannerwood St
Henderson, NV 89044-0139

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110218000689 NV Practitioner - Diagnostic Radiology 2365623642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Simonmed Reno PLLC Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Hoffman, MD, Associated Pathologists Chartered PastSince Jan 27, 2026 Accepting new patients

Locations

1425 S Greenfield Rd
Bldg 2
Mesa, AZ 85206
Phone (480) 324-8033

6900 E Camelback Rd
Ste 700
Scottsdale, AZ 85251
Phone (602) 651-1945

9201 E Mountain View Rd
Ste 137
Scottsdale, AZ 85258
Phone (480) 614-8555

14651 S Bascom Ave
Ste 120
Los Gatos, CA 95032
Phone (408) 356-0444

105 South Dr
Ste 110
Mountain View, CA 94040
Phone (650) 259-3165

7540 Oso Blanca Rd
Ste 140
Las Vegas, NV 89149
Phone (702) 460-1375

3061 S Maryland Pkwy
Ste 102
Las Vegas, NV 89109
Phone (702) 369-4570

7610 W Cheyenne Ave
Ste 100
Las Vegas, NV 89129
Phone (602) 651-1945

3560 E Flamingo Rd
Ste 100
Las Vegas, NV 89121
Phone (702) 343-3610

7455 W Washington Ave
Ste 120
Las Vegas, NV 89128
Phone (702) 433-6455

590 Eureka Ave
Reno, NV 89512
Phone (775) 323-5083

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1801906359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 BANNERWOOD ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890440139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 E FLAMINGO RD",
            "address_2": "STE. 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891210201",
            "telephone_number": "702-433-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DAVID",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "13735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.