Dixie A. Fullerton
Dixie A. Fullerton is a healthcare organization registered as Prosthetic/Orthotic Supplier in Las Vegas, NV, holding Type 2 (organization) NPI 1336296979 since 2007. The authorized official on file is Dixie Fullerton, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1336296979 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Dixie A. Fullerton |
| Other name | <Unavail> |
| Practice address | 1618 E CHARLESTON BLVD, Las Vegas, NV, 89104 |
| Phone | 7023845121 |
| Fax | 7023844416 |
| Enumeration date | 2007-01-05 |
| Last updated in NPPES | 2012-07-23 |
Authorized official
| Name | Dixie Fullerton |
|---|---|
| Title | Owner |
| Phone | 7023845121 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003302425 | Medicaid | NV | — |
Copy-ready billing details
Provider: Dixie A. Fullerton NPI: 1336296979 Taxonomy: 335E00000X (Prosthetic/Orthotic Supplier) Address: 1618 E CHARLESTON BLVD, Las Vegas, NV, 89104
Verify this record
Cross-check NPI 1336296979 against the authoritative CMS record: view Dixie A. Fullerton on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Dixie A. Fullerton?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-07-23.