Healthcare Provider Details

I. General information

NPI: 1467555359
Provider Name (Legal Business Name): DANIEL J AIRES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 12/13/2024
Certification Date: 12/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 RAINBOW BLVD DEPT OF INTERNAL MEDICINE
KANSAS CITY KS
66160-8500
US

IV. Provider business mailing address

100 PRINGLE AVE STE 425
WALNUT CREEK CA
94596-3583
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-6000
  • Fax:
Mailing address:
  • Phone: 925-932-3800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number04-31416
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberC166853
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: