Active NPI
Abraham Wikler, D.O.
- Family Medicine Physician
- Henderson, NV
National Provider Identifier
1821172305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 639
- Practice address
- 8985 S Pecos Rd
#4A
Henderson, NV 89074-7162 - Phone
- (702) 433-1332
- Fax
- (702) 547-4931
- NPI assigned
- Oct 24, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 639 | NV | Primary |
Addresses
Primary practice location
8985 S Pecos Rd
#4A
Henderson, NV 89074-7162
Mailing address
8985 S Pecos Rd
#4A
Henderson, NV 89074-7162
Phone (702) 433-1332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002019541 | Medicaid | NV |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 639 | NV | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1821172305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8985 S PECOS RD",
"address_2": "#4A",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747162",
"telephone_number": "702-433-1332",
"fax_number": "702-547-4931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8985 S PECOS RD",
"address_2": "#4A",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747162",
"telephone_number": "702-433-1332",
"fax_number": "702-547-4931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIKLER",
"first_name": "ABRAHAM",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "639",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002019541",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Henderson, 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.