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DUSTIN BANAGHAN DO
NPI 1366290777
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since May 09, 2024PECOS Enrolled
6655 S CIMARRON RD STE 100, LAS VEGAS, NV 89113(702) 853-3578 Get Directions Write a Review

NPPES record last updated: November 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 23, 2024, May 9, 2024 (2 updates tracked since 2024).

About Dustin Banaghan Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DUSTIN BANAGHAN DO (NPI 1366290777) is an individual student in an organized health care education/training program in Las Vegas, Nevada, licensed in Nevada (SL2196) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366290777
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDUSTIN BANAGHANCredential: DO
Location Address6655 S CIMARRON RD STE 100Las Vegas, NV 89113-2181
Mailing Address6655 S Cimarron Rd Ste 100Las Vegas, NV 89113-2181
Phone(702) 853-3578
Sole ProprietorNo
Enumeration DateMay 9, 2024
Last NPPES UpdateNovember 23, 20242 updates tracked since enumeration
NPPES CertifiedNovember 23, 2024
✔ NPI 1366290777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NV · SL2196
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
6655 S CIMARRON RD STE 100, Las Vegas, NV 89113
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dustin Banaghan Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHANDLER WILLIAMS
Student in an Organized Health Care Education/Training Program
6655 S CIMARRON RD STE 100
LAS VEGAS, NV 89113
Clark County (702) 853-3561
COLIN STANDIFIRD MD
Student in an Organized Health Care Education/Training Program
6655 S CIMARRON RD STE 100
LAS VEGAS, NV 89113
Clark County (702) 853-3561
MUHAMMAD HASSAN AHMAD MD
Student in an Organized Health Care Education/Training Program
6655 S CIMARRON RD STE 100
LAS VEGAS, NV 89113
Clark County (702) 853-3561
ANGEL LI MD
Emergency Medicine
6655 S CIMARRON RD STE 100
LAS VEGAS, NV 89113
Clark County (702) 233-7481
ABBAS MOHAMMADI
Student in an Organized Health Care Education/Training Program
6655 S CIMARRON RD STE 100
LAS VEGAS, NV 89113
Clark County (702) 853-3561
SNE KANJI
Student in an Organized Health Care Education/Training Program
6655 S CIMARRON RD STE 100
LAS VEGAS, NV 89113
Clark County (702) 853-3564
ZANE AHMAD-FIRAS HAMDAN MD
Student in an Organized Health Care Education/Training Program
6655 S CIMARRON RD STE 100
LAS VEGAS, NV 89113
Clark County (702) 853-3561
YAACOV DAVIDOW DO
Student in an Organized Health Care Education/Training Program
6655 S CIMARRON RD STE 100
LAS VEGAS, NV 89113
Clark County (403) 470-2765

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dustin Banaghan's NPI number?

The NPI number for Dustin Banaghan is 1366290777. It was assigned to this individual provider in the NPPES registry on May 9, 2024.

Where is Dustin Banaghan located?

Dustin Banaghan practices at 6655 S Cimarron Rd Ste 100, Las Vegas, NV 89113. The listed phone number is (702) 853-3578.

What is Dustin Banaghan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dustin Banaghan enrolled in Medicare?

Yes. Dustin Banaghan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dustin Banaghan was last updated on November 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.