NPI 1306412499 · live from the CMS NPI Registry
Matthew Dallas, RD
Dietitian, Registered in Las Vegas, NV. National Provider Identifier 1306412499, active.
NPI record
| NPI | 1306412499 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 7656 W Sahara Ave Ste 110, Las Vegas, NV 89117 |
| Practice phone | 702-467-0308 |
| Mailing address | 8108 Pecan Valley Ave, Las Vegas, NV 89131 |
| Enumerated | May 31, 2021 |
| Last updated | May 31, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 39944-DI-0 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.