Individual provider

Denice Marie Ichinoe, DO

Student in an Organized Health Care Education/Training Program Sports Medicine (Family Medicine) Physician Medicare enrolled

Denice Marie Ichinoe, DO is a provider specialising in Student in an Organized Health Care Education/Training Program in Las Vegas, NV, registered under NPI 1235766957. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 2724 N TENAYA WAY FL 2, Las Vegas, NV 89128. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2724 N TENAYA WAY FL 2, Las Vegas, NV 89128 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
DO3807 NV Sports Medicine (Family Medicine)…

This provider holds licence DO3807 issued in NV. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Family Practice
PAC ID
4082037643
Enrollment ID
I20250416002925

Medicare enrolment is recorded as approved under the provider type Practitioner - Family Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Student in an Organized Health Care Education/Training Program covers

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. NUCC Health Care Provider Taxonomy, code 390200000X
Student, Health Care Student in an Organized Health Care Education/Training Program

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
390200000X Student in an Organized Health Care Education/Training Program primary
207QS0010X Sports Medicine (Family Medicine) Physician Sports Medicine DO3807 NV

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1235766957 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 24, 2020
Last updatedFeb 12, 2025
StatusActive
Sole proprietorNo
CredentialDO
Practice address 2724 N TENAYA WAY FL 2
Las Vegas, NV 89128
(702) 992-6888
This record was updated on Feb 12, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1235766957 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 3 5 7 6 6 9 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 6 5 5 6 3 9 1

Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1235766957?
NPI 1235766957 is the National Provider Identifier assigned to Denice Marie Ichinoe, DO in Las Vegas, NV. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Student in an Organized Health Care Education/Training Program cover?
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
How do I contact Denice Marie Ichinoe, DO?
The phone number on file with NPPES is (702) 992-6888, last updated Feb 12, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Denice Marie Ichinoe, DO accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1235766957 a valid number?
Yes. 1235766957 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.