Individual provider Active NPI

Daniel Andrew Streifel, D.D.S.

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1932235868
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3085 Issued in NV
Practice address
3140 S Durango Dr
Suite 100
Las Vegas, NV 89117-9189
Phone
(702) 362-1856
Fax
(702) 804-0465
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3085 NV Primary

Addresses

Primary practice location

3140 S Durango Dr
Suite 100
Las Vegas, NV 89117-9189

Mailing address

2468 Cedar Meadows St
Henderson, NV 89052-4914
Phone (702) 560-4516

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161227001500 NV Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1153602511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3085NVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Masaki Durango Dental Group, PC Past Accepting new patients

Organizations & group practices 1

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1932235868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2468 CEDAR MEADOWS ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524914",
            "telephone_number": "702-560-4516",
            "fax_number": "702-914-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 S DURANGO DR",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891179189",
            "telephone_number": "702-362-1856",
            "fax_number": "702-804-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREIFEL",
        "first_name": "DANIEL",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "3085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.