Individual provider Active NPI

Dallis Machado

  • Home Health Aide
  • Las Vegas, NV
National Provider Identifier
1831704402
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
2560 E Sunset Rd Ste 106
Las Vegas, NV 89120-3517
Phone
(702) 202-0552
Fax
(702) 224-2157
NPI assigned
Sep 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

2560 E Sunset Rd Ste 106
Las Vegas, NV 89120-3517

Mailing address

1401 Henry Dr Apt D
Las Vegas, NV 89110-1238
Phone (702) 809-7335

Other identifiers 1

IdentifierTypeStateIssuer
2104566426MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Filezilla Other

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": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1831704402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 HENRY DR APT D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891101238",
            "telephone_number": "702-809-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 E SUNSET RD STE 106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203517",
            "telephone_number": "702-202-0552",
            "fax_number": "702-224-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHADO",
        "first_name": "DALLIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2104566426",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Filezilla",
            "affiliation": "N",
            "endpointDescription": "Home Health Care",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Home Health Care",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2560 E Sunset Rd Ste 106",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891203517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 10, 2020; 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.