OrganizationActive
Fife Dermatology, PC 1
NPI 1619492378 · Dermatology Physician · Las Vegas, NV
Provider details
- NPI number
- 1619492378
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Fife Dermatology, PC
- Organization subpart
- Yes
- Authorized official
- Douglas Fife, Ceo(702) 255-6647
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
10080 West Alta Drive
Suite 120
Las Vegas, NV 89145-8651
Phone: (702) 255-6647
Fax: (702) 933-1444
Street-level locationGet directions
Mailing address
10080 West Alta Drive
Las Vegas, NV 89145-8651
Other names (DBA / former)
- Doing business as
- Surgical Dermatology and Laser Center
Registry dates
- Enumerated
- 2017-08-03
- Last updated
- 2017-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.