Individual provider Active NPI

David Orentlicher, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1942921515
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD17497 Issued in DC
Practice address
4505 S. Maryland Pkwy.
Las Vegas, NV 89154-1003
Phone
(702) 895-2333
NPI assigned
Sep 12, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD17497 DC Primary

Addresses

Primary practice location

4505 S. Maryland Pkwy.
Las Vegas, NV 89154-1003

Mailing address

4505 S. Maryland Pkwy.
Box 451003
Las Vegas, NV 89154-1003
Phone (702) 895-2333

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address david.orentlicher@unlv.edu Direct

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD17497DCMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1942921515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 S. MARYLAND PKWY.",
            "address_2": "BOX 451003",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891541003",
            "telephone_number": "702-895-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 S. MARYLAND PKWY.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891541003",
            "telephone_number": "702-895-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORENTLICHER",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD17497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.orentlicher@unlv.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4505 S. Maryland Pkwy.",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891541003",
            "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 12, 2022; 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.