Dewitt J. Paul III, C. PED

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

MP00225 Issued in NV

Practice address

10520 S Eastern Ave # 100
Henderson, NV 89052-3900

Phone

(702) 838-8111

Fax

(702) 838-8115

NPI assigned

Feb 15, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sequent Corporation

  • Durable Medical Equipment & Medical Supplies
  • Henderson, NV
  • NPI 1679780381
  NPD (past) Authorized official

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1598038945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10520 S EASTERN AVE # 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523900",
            "telephone_number": "702-838-8111",
            "fax_number": "702-838-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10520 S EASTERN AVE # 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523900",
            "telephone_number": "702-838-8111",
            "fax_number": "702-838-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "DEWITT",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "C. PED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "license": "MP00225",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NV",
            "license": "MP00225",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Patti, CPC
• Alexis Patton
• Deven Amarah Patton
• Nicolle Michelle Patton
• Paul S Johnson, OD, PC
• Dorothy Ann Paul, M.F.T.
• Robert Joseph Paulino, M.D.
• Gregory Stephen Pavlos, DDS
• Geneva Payette
• Crystal Payne

• Durable Medical Equipment & Medical Supplies in Henderson, NV
• Providers in Henderson, NV by specialty
• Durable Medical Equipment & Medical Supplies in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.