Active NPI
Alyssa Taylor Dennis, MD
- Emergency Medicine Physician
- Fallon, NV
National Provider Identifier
1134879455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 29894
- Practice address
- 801 E Williams Ave
Fallon, NV 89406-3052 - Phone
- (775) 423-3151
- NPI assigned
- Mar 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 29894 | NV | Primary |
Addresses
Primary practice location
801 E Williams Ave
Fallon, NV 89406-3052
Mailing address
4637 Chabot Dr Ste 104
Pleasanton, CA 94588-2749
Other practice location 1
800 Meadows Rd
Boca Raton, FL 33486-2304
Phone (561) 955-4600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240213000899 | SC | Order and Referring Only - Emergency Medicine | 3870936297 |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Virginia Commonwealth University, School of Medicine, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
169 Ashley Ave
202 Main Hospital
Charleston, SC 29425-0333
3508 Emory Green St
Knoxville, TN 37931-3763
4637 Chabot Dr
Suite 104
Pleasanton, CA 94588-2749
Hospital & facility affiliations
- Banner Churchill Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1134879455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4637 CHABOT DR STE 104",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945882749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 E WILLIAMS AVE",
"city": "FALLON",
"state": "NV",
"postal_code": "894063052",
"telephone_number": "775-423-3151"
}
],
"practiceLocations": [
{
"address_1": "800 Meadows Rd",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334862304",
"country_code": "US",
"telephone_number": "561-955-4600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DENNIS",
"first_name": "ALYSSA",
"middle_name": "TAYLOR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-28",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NV",
"license": "29894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fallon, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.