Active NPI
Dorrian White
- Rehabilitation Psychologist
- North Las Vegas, NV
National Provider Identifier
1285049056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Psychologist
- License
- 5341-C
- Practice address
- 4325 W Rome Blvd Apt 1050
North Las Vegas, NV 89084-5403 - Phone
- (702) 237-8063
- NPI assigned
- Jun 30, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Rehabilitation Psychologist | 103TR0400X | 5341-C | NV | Primary |
Addresses
Primary practice location
4325 W Rome Blvd Apt 1050
North Las Vegas, NV 89084-5403
Mailing address
4325 W Rome Blvd Apt 1050
North Las Vegas, NV 89084-5403
Phone (702) 237-8063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272551403 | Medicaid | NV |
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 |
|---|---|---|---|
| 5341-C | NV | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404086400000",
"number": "1285049056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4325 W ROME BLVD APT 1050",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890845403",
"telephone_number": "702-237-8063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4325 W ROME BLVD APT 1050",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890845403",
"telephone_number": "702-237-8063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "DORRIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-30",
"last_updated": "2014-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "NV",
"license": "5341-C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "272551403",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.