Healthcare Provider Details

I. General information

NPI: 1982641585
Provider Name (Legal Business Name): DAVID P BIESINGER DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 N DURANGO DR STE 110
LAS VEGAS NV
89149-3939
US

IV. Provider business mailing address

6200 N DURANGO DR STE 110
LAS VEGAS NV
89149-3939
US

V. Phone/Fax

Practice location:
  • Phone: 702-852-2402
  • Fax: 702-947-7193
Mailing address:
  • Phone: 702-852-2402
  • Fax: 702-947-7193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number1005
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: