OrganizationActive
Dixie A. Fullerton
NPI 1336296979 · Prosthetic/Orthotic Supplier · Las Vegas, NV
Dixie A. Fullerton is a Prosthetic/Orthotic Supplier organization in Las Vegas, NV (NPI 1336296979).
Provider details
- NPI number
- 1336296979
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Dixie Fullerton, Owner(702) 384-5121
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1618 E Charleston Blvd
Las Vegas, NV 89104-1826
Phone: (702) 384-5121
Fax: (702) 384-4416
Street-level locationGet directions
Mailing address
1618 E Charleston Blvd
Las Vegas, NV 89104-1826
Other names (DBA / former)
- Doing business as
- Carefree Footwear
Registry dates
- Enumerated
- 2007-01-05
- Last updated
- 2012-07-23
Frequently asked questions
- What is Dixie A. Fullerton's NPI number?
- Dixie A. Fullerton's National Provider Identifier (NPI) is 1336296979, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dixie A. Fullerton?
- Dixie A. Fullerton is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Dixie A. Fullerton located?
- Dixie A. Fullerton's practice location on file with NPPES is 1618 E Charleston Blvd, Las Vegas, NV 89104-1826.
- What is Dixie A. Fullerton's phone number?
- The practice phone number listed in the NPPES registry for Dixie A. Fullerton is (702) 384-5121.
- Who is the authorized official for Dixie A. Fullerton?
- The authorized official listed on Dixie A. Fullerton's NPPES record is Dixie Fullerton, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dixie A. Fullerton's NPI active?
- Yes — Dixie A. Fullerton's NPI (1336296979) is active in the NPPES registry as of the last update on 2012-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.