Dennis James Fivecoat, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

4511 W Cheyenne Ave
Ste 700
North Las Vegas, NV 89032-2450

Phone

(702) 643-4279

Fax

(702) 643-4282

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255429841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 N RAINBOW BLVD",
            "address_2": "#1125",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891084502",
            "telephone_number": "702-645-4469",
            "fax_number": "702-643-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 W CHEYENNE AVE",
            "address_2": "STE 700",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890322450",
            "telephone_number": "702-643-4279",
            "fax_number": "702-643-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIVECOAT",
        "first_name": "DENNIS",
        "middle_name": "JAMES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1038237",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deron Fisher Jr.
• Steven Daniel Fisher, LCSW
• Peter Warner Fitch
• Nakia Fitz
• Silkii Renee Fitzhugh
• Michelle Flage, PT, DPT
• Mia Flanagan
• Bridgett Fleming
• Brandy Fletcher
• Ellen Fletcher

• Physician Assistant in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.