Provider Demographics
NPI:1982641585
Name:BIESINGER, DAVID P (DPM)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:P
Last Name:BIESINGER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 E CENTENNIAL PKWY STE 104
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89084-1337
Mailing Address - Country:US
Mailing Address - Phone:702-852-2402
Mailing Address - Fax:702-947-7193
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1005213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV6141500001OtherNSC
NV6141500001OtherNSC
NVDH043ZMedicare PIN