Active NPI
Don M Wayment, D.O.
- Diagnostic Radiology Physician
- Las Vegas, NV
National Provider Identifier
1871660209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- DO1894
- Practice address
- 2020 Palomino Lane
Suite 100
Las Vegas, NV 89106-4894 - Phone
- (702) 759-8600
- Fax
- (702) 384-1815
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | DO1894 | NV | Primary |
Addresses
Primary practice location
2020 Palomino Lane
Suite 100
Las Vegas, NV 89106-4894
Mailing address
2020 Palomino Lane
#100
Las Vegas, NV 89106-4894
Phone (702) 759-8600
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004316000 | Medicaid | ID | |
| P01370749 | Other | NV | RR MEDICARE DRS |
| 1871660209 | Medicaid | NV | |
| HBEQ2 | Other | ID | BLUE CROSS |
| P01370757 | Other | NV | RR MEDICARE DR |
| 000010001375 | Other | ID | BLUE SHIELD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488758400000",
"number": "1871660209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 PALOMINO LANE",
"address_2": "#100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064894",
"telephone_number": "702-759-8600",
"fax_number": "702-384-1815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 PALOMINO LANE",
"address_2": "SUITE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064894",
"telephone_number": "702-759-8600",
"fax_number": "702-384-1815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAYMENT",
"first_name": "DON",
"middle_name": "M",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2017-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NV",
"license": "DO1894",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004316000",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE DRS",
"identifier": "P01370749",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1871660209",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "HBEQ2",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE DR",
"identifier": "P01370757",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000010001375",
"state": "ID"
}
],
"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 Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.