Daniel S Visser, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 1323 Issued in NV

Practice address

2650 N Tenaya Way # 301
Las Vegas, NV 89128-1102

Phone

(702) 258-5521

Fax

(702) 938-0137

NPI assigned

Jan 4, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Affordable Emergency Medicine Solutions LTD

  dba Aspen Quick Care

  • Urgent Care Clinic/Center
  • Spring Creek, NV
  • NPI 1093239626
  Medicare reassignment
• Crum,Stefanko and Jones LTD

  dba Ruby Crest Emergency Medicine

  • Emergency Medicine Physician
  • Elko, NV
  • NPI 1285645515
  Medicare reassignment
• Nevada Orthopedic & Spine Center

  • Orthopaedic Surgery Physician
  • Las Vegas, NV
  • NPI 1437158771
  NPD

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1972873198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 N TENAYA WAY",
            "address_2": "301",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281102",
            "telephone_number": "702-258-5521",
            "fax_number": "702-938-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 N TENAYA WAY # 301",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281102",
            "telephone_number": "702-258-5521",
            "fax_number": "702-938-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISSER",
        "first_name": "DANIEL",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-04",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA 1323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "FU392Y",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "PA 1323",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Visiting Nurses of Nevada, Inc.
• Candy Viska
• Mercy Melanie Bormate Vismanos, APRN
• Vilma S Visorde, PCA
• Harriet Visperas
• Vista Medical Associates LLC
• Vista Smile LLC (Affordable Braces)
• Vistas Hospice and Palliative Care Inc
• Vistech Optical
• Sahityan Viswanathan, M.D.

• Physician Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.