=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275497877
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HALLMAN'S FOOT DOCS, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/10/2025
-----------------------------------------------------
Last Update Date | 12/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 732 S 6TH ST # 6241
-----------------------------------------------------
City | LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89101-6948
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-720-3165
-----------------------------------------------------
Fax | 702-720-3167
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 732 S 6TH ST # 6241
-----------------------------------------------------
City | LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89101-6948
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-720-3165
-----------------------------------------------------
Fax | 702-720-3167
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGING MEMBER
-----------------------------------------------------
Name | DANIEL HALLMAN
-----------------------------------------------------
Credential | DPM, MS, CWS
-----------------------------------------------------
Telephone | 702-720-3165
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213E00000X
-----------------------------------------------------
Taxonomy Name | Podiatrist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------