DR. IAN JOSEPH PENNISTON D.O. NPI 1023451101

NPI Information

NPI: 1023451101
Provider Name: DR. IAN JOSEPH PENNISTON, D.O.
Classification: Psychiatry & Neurology - 2084B0040X
Entity Type: Individual

Specialization: Behavioral Neurology & Neuropsychiatry

Address:
6900 N PECOS RD
NORTH LAS VEGAS, NV
ZIP 89086
Phone: (702) 791-9000
Get Directions

DR. Ian Joseph Penniston, D.O. is a behavioral neurology and neuropsychiatry psychiatry neurology in North Las Vegas, NV. The provider is behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. DR. Ian Joseph Penniston, D.O. NPI is 1023451101. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6900 N PECOS RD
NORTH LAS VEGAS, NV
ZIP 89086-400
Phone: (702) 791-9000

The enumeration date for this NPI number is 4/9/2013 and was last updated on 6/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2083A0300X	Preventive Medicine	Addiction Medicine	59778	MINNESOTA	No
2	2084P0800X	Psychiatry & Neurology	Psychiatry	59778	MINNESOTA	No
3	208VP0000X	Pain Medicine	Pain Medicine	59778	MINNESOTA	No
4	2084B0040X	Psychiatry & Neurology	Behavioral Neurology & Neuropsychiatry	59778	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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