Provider Demographics
NPI:1467996454
Name:DAVID P BIESINGER, DPM
Entity Type:Organization
Organization Name:DAVID P BIESINGER, DPM
Other - Org Name:CENTENNIAL FOOT & ANKLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:P
Authorized Official - Last Name:BIESINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:702-606-8599
Mailing Address - Street 1:9842 KINDLE ROCK CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-1979
Mailing Address - Country:US
Mailing Address - Phone:702-606-8599
Mailing Address - Fax:
Practice Address - Street 1:150 E CENTENNIAL PKWY STE 104
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89084-1337
Practice Address - Country:US
Practice Address - Phone:702-852-2402
Practice Address - Fax:702-947-7193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-09
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1005213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVU80811Medicare UPIN