Active NPI
Gregory Brent Dennis, PHD
- Psychologist
- Boulder City, NV
National Provider Identifier
1972562221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY0312
- Practice address
- 1000 Nevada Hwy
Suite 106
Boulder City, NV 89005-1813 - Phone
- (702) 293-5945
- Fax
- (702) 293-5168
- NPI assigned
- Mar 23, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY0312 | NV | Primary |
Addresses
Primary practice location
1000 Nevada Hwy
Suite 106
Boulder City, NV 89005-1813
Mailing address
PMB 101 # 115
806 Buchanan Ave
Boulder City, NV 89005
Phone (702) 293-5946
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G Brent Dennis Inc | Psychologist | Past | Accepting new patients |
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.
-
- Psychologist
- Henderson, NV
- NPI 1477741767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193097600000",
"number": "1972562221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PMB 101 # 115",
"address_2": "806 BUCHANAN AVE",
"city": "BOULDER CITY",
"state": "NV",
"postal_code": "89005",
"telephone_number": "702-293-5946",
"fax_number": "702-293-5168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 NEVADA HWY",
"address_2": "SUITE 106",
"city": "BOULDER CITY",
"state": "NV",
"postal_code": "890051813",
"telephone_number": "702-293-5945",
"fax_number": "702-293-5168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "GREGORY",
"middle_name": "BRENT",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2007-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NV",
"license": "PY0312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.