Individual provider Active NPI

Magnolia Dalan

  • Personal Care Attendant
  • Las Vegas, NV
National Provider Identifier
1811312424
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
340 E Warm Springs Rd
Suite 4B
Las Vegas, NV 89119-4257
Phone
(702) 476-8809
Fax
(702) 476-8633
NPI assigned
Feb 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X NV Primary

Addresses

Primary practice location

340 E Warm Springs Rd
Suite 4B
Las Vegas, NV 89119-4257

Mailing address

340 E Warm Springs Rd
Suite 4B
Las Vegas, NV 89119-4257
Phone (702) 476-8809

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1811312424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E WARM SPRINGS RD",
            "address_2": "SUITE 4B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194257",
            "telephone_number": "702-476-8809",
            "fax_number": "702-476-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E WARM SPRINGS RD",
            "address_2": "SUITE 4B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194257",
            "telephone_number": "702-476-8809",
            "fax_number": "702-476-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALAN",
        "first_name": "MAGNOLIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NV",
            "license": null,
            "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 Feb 19, 2014; 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.