Active NPI
Donald A Dexter, PAC
- Physician Assistant
- Las Vegas, NV
National Provider Identifier
1295781714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA633
- Practice address
- 620 Shadow LN
Las Vegas, NV 89106-4119 - Phone
- (702) 388-4500
- NPI assigned
- May 26, 2006
- Last updated
- May 17, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA633 | NV | Primary |
Addresses
Primary practice location
620 Shadow LN
Las Vegas, NV 89106-4119
Mailing address
2596 Mizzoni Cir
Henderson, NV 89052-4927
Phone (702) 480-9684
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)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Physicians of Clark Pediatrics McCourt, PLLC | Past | Accepting new patients | |
| Emergency Physicians Medical Group, Inc | Past | Accepting new patients | |
| Nevada Em-I Silver-Homansky Medical Services Professional Corporation | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Henderson, NV
- NPI 1568763589
-
- Emergency Medicine Physician
- Pahrump, NV
- NPI 1881932721
-
- Emergency Medicine Physician
- Aiea, HI
- NPI 1639111339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274054400000",
"number": "1295781714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2596 MIZZONI CIR",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890524927",
"telephone_number": "702-480-9684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 SHADOW LN",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064119",
"telephone_number": "702-388-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEXTER",
"first_name": "DONALD",
"middle_name": "A",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2010-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.