Individual provider Active NPI

Dustin Bradford Von Holten, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas NV 89118, NV
National Provider Identifier
1841720521
Registry record updated Mar 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
871465 Issued in NV
Practice address
5940 S. Rainbow Blvd
Las Vegas NV 89118, NV 89118-2506
Phone
(347) 573-9479
Fax
(347) 745-5913
NPI assigned
Jun 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 871465 NV
Psychiatric/Mental Health Registered Nurse 163WP0808X RN61447966 WA
Psychiatric/Mental Health Registered Nurse 163WP0808X 717042 NY
Psychiatric/Mental Health Registered Nurse 163WP0808X 213913 AK
Psychiatric/Mental Health Registered Nurse 163WP0808X 95345342 CA
Psychiatric/Mental Health Registered Nurse 163WP0808X 26NR22994400 NJ
Psychiatric/Mental Health Registered Nurse 163WP0808X 13591362-3102 UT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 402408 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 213914 AK
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95027838 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61467436 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01214100 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 13591362-4405 UT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP231481 ME
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 871465 NV Primary

Addresses

Primary practice location

5940 S. Rainbow Blvd
Las Vegas NV 89118, NV 89118-2506

Mailing address

5940 S Rainbow Blvd
Las Vegas, NV 89118-2506
Phone (347) 573-9479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 1, 2025 through Nov 1, 2027

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.18 of 100Reported as group
Quality
77.1
Promoting interoperability
100
Improvement activities
40
Cost
86.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
213913AKMDPsychiatric/Mental Health Registered Nurse
95345342CAMDPsychiatric/Mental Health Registered Nurse
26NR22994400NJMDPsychiatric/Mental Health Registered Nurse
871465NVMDPsychiatric/Mental Health Registered Nurse
717042NYMDPsychiatric/Mental Health Registered Nurse
13591362-3102UTMDPsychiatric/Mental Health Registered Nurse
RN61447966WAMDPsychiatric/Mental Health Registered Nurse
213914AKMDPsychiatric/Mental Health Nurse Practitioner
95027838CAMDPsychiatric/Mental Health Nurse Practitioner
CNP231481MEMDPsychiatric/Mental Health Nurse Practitioner
26NJ01214100NJMDPsychiatric/Mental Health Nurse Practitioner
13591362-4405UTMDPsychiatric/Mental Health Nurse Practitioner
AP61467436WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DVH NP in Psychiatry Services, PLLC Psychiatric/Mental Health Current Accepting new patients

Locations

5940 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 203-1964

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742083200000",
    "number": "1841720521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182506",
            "telephone_number": "347-573-9479",
            "fax_number": "347-745-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5940 S. RAINBOW BLVD",
            "city": "LAS VEGAS NV 89118",
            "state": "NV",
            "postal_code": "891182506",
            "telephone_number": "347-573-9479",
            "fax_number": "347-745-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON HOLTEN",
        "first_name": "DUSTIN",
        "middle_name": "BRADFORD",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-15",
        "last_updated": "2025-03-16",
        "certification_date": "2025-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NV",
            "license": "871465",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WA",
            "license": "RN61447966",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "717042",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AK",
            "license": "213913",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95345342",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NR22994400",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "UT",
            "license": "13591362-3102",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402408",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "213914",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95027838",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61467436",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01214100",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "13591362-4405",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP231481",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "871465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.