Active NPI
Marquise D Dennis, COSMETOLOGIST
- Prosthetist
- Henderson, NV
National Provider Identifier
1235794595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- C-43751
- Practice address
- 1520 W. Sunset Rd
Henderson, NV 89014 - Phone
- (310) 756-8338
- NPI assigned
- May 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthetist | 224P00000X | C-43751 | NV | Primary |
Addresses
Primary practice location
1520 W. Sunset Rd
Henderson, NV 89014
Mailing address
7470 Edgecove CT
Las Vegas, NV 89139-0506
Phone (310) 756-8338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-43751 | NV | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556755200000",
"number": "1235794595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7470 EDGECOVE CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891390506",
"telephone_number": "310-756-8338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 W. SUNSET RD",
"city": "HENDERSON",
"state": "NV",
"postal_code": "89014",
"telephone_number": "310-756-8338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "MARQUISE",
"middle_name": "D",
"credential": "COSMETOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-02",
"last_updated": "2019-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "NV",
"license": "C-43751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.