Provider Demographics
NPI:1376668988
Name:FALLS, DENNIS ALLEN (MD,)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:ALLEN
Last Name:FALLS
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 W LAKE MEAD BLVD
Mailing Address - Street 2:SUIT 314
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-0297
Mailing Address - Country:US
Mailing Address - Phone:702-966-5911
Mailing Address - Fax:702-212-4620
Practice Address - Street 1:7500 W LAKE MEAD BLVD
Practice Address - Street 2:SUIT 314
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0297
Practice Address - Country:US
Practice Address - Phone:702-966-5911
Practice Address - Fax:702-212-4620
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRC7532279P1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279P1004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary Diagnostics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVX54567Medicare UPIN
NVNV33983Medicare ID - Type UnspecifiedMEDICARE PROVIDER ID