NPIMap

Organization Active NPI

Bacchus PC

Doing business as P3 Health Partners Medical Group

  • Family Medicine Physician
  • Henderson, NV
National Provider Identifier
1134628480
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BACCHUS PC
Doing business as
P3 Health Partners Medical Group
Practice address
880 Seven Hills Dr Ste 140
Henderson, NV 89052-4372
Phone
(702) 844-4840
Fax
(702) 844-4843
NPI assigned
Feb 1, 2018
Last updated
Apr 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Beverly Dendary
Title
Credentialing Manager
Phone
(702) 910-3950

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU
General Practice Physician 208D00000X NU

Addresses

Primary practice location

880 Seven Hills Dr Ste 140
Henderson, NV 89052-4372

Mailing address

2370 Corporate Cir Ste 300
Henderson, NV 89074-7760
Phone (702) 910-3950

Other practice location 1

2831 Business Park Ct Ste A
Las Vegas, NV 89128-9000
Phone (702) 844-4848

Other practice location 2

340 Falcon Ridge Pkwy Ste 201
Mesquite, NV 89027-8851
Phone (702) 979-5966

Other practice location 3

9280 W Sunset Rd Ste 200
Las Vegas, NV 89148-4861
Phone (702) 844-4846

Other practice location 4

348 N Nellis Blvd Ste F
Las Vegas, NV 89110-5313
Phone (702) 910-3950

Other practice location 5

360 S Lola Ln Bldg B
Pahrump, NV 89048-0884
Phone (775) 505-0810

Other names 1

  • P3 Health Partners Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180503001534 NV Part B Supplier - Clinic/Group Practice 5991069643 Receives reassigned benefits from 71 practitioners
Practice locations: Las Vegas, NV; Pahrump, NV; Mesquite, NV; Henderson, NV
O20201229002455 OR Part B Supplier - Clinic/Group Practice 5991069643 Receives reassigned benefits from 1 practitioner
Practice locations: Roseburg, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2149698P3 Health Partners Medical Group-Seven Hills880 Seven Hills Dr Ste 140, Henderson, NV 89052Certificate of waiverJun 7, 2028

National Provider Directory

National Provider Directory

Locations

1500 W Sunset Rd
Ste 100120
Henderson, NV 89014
Phone (702) 888-3126

2831 Business Park Ct
Ste A
Las Vegas, NV 89128
Phone (702) 844-4848

348 N Nellis Blvd
Ste F
Las Vegas, NV 89110
Phone (702) 508-6460

4275 Burnham Ave
Ste 270
Las Vegas, NV 89119
Phone (702) 888-3221

4275 Burnham Ave
Ste 320
Las Vegas, NV 89119
Phone (702) 735-8000

340 Falcon Ridge Pkwy
Ste 201
Mesquite, NV 89027
Phone (702) 979-5966

1460 E Calvada Blvd
#A
Pahrump, NV 89048
Phone (775) 210-8333

360 S Lola Ln
Bldg B
Pahrump, NV 89048
Phone (775) 505-0810

Practitioners & affiliated clinicians

Practitioners 159

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 159

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1134628480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 CORPORATE CIR STE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747760",
            "telephone_number": "702-910-3950",
            "fax_number": "702-786-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 SEVEN HILLS DR STE 140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524372",
            "telephone_number": "702-844-4840",
            "fax_number": "702-844-4843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2831 Business Park Ct Ste A",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891289000",
            "country_code": "US",
            "telephone_number": "702-844-4848",
            "fax_number": "702-844-4849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 Falcon Ridge Pkwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "NV",
            "postal_code": "890278851",
            "country_code": "US",
            "telephone_number": "702-979-5966",
            "fax_number": "775-231-8003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9280 W Sunset Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891484861",
            "country_code": "US",
            "telephone_number": "702-844-4846",
            "fax_number": "702-844-4847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "348 N Nellis Blvd Ste F",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891105313",
            "country_code": "US",
            "telephone_number": "702-910-3950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 S Lola Ln Bldg B",
            "address_purpose": "LOCATION",
            "city": "Pahrump",
            "state": "NV",
            "postal_code": "890480884",
            "country_code": "US",
            "telephone_number": "775-505-0810",
            "fax_number": "775-505-0811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BACCHUS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "DENDARY",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "702-910-3950"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P3 Health Partners Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.