Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Daniel Grissom, MD

Individual provider Pediatrics Physician · NPI 1063943686

Dr. Daniel Grissom, MD is a Pediatrics Physician in Las Vegas, Nevada. Licensed in Indiana and Nevada. Registered with an NPI since 2017.

Licensed in
IN, NV
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1800 W Charleston Blvd
Las Vegas, NV 89102-2386
Phone: (702) 383-1958
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Emergency Medicine (Pediatrics) Physician (primary) Taxonomy 2080P0204X · Licence 24016 (NV)
Pediatrics Physician Taxonomy 208000000X · Licence 01084383A (IN)

Record details

NPI number1063943686
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2017
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024

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