Lenore S Kakita MD LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

LENORE S KAKITA MD LLC

Practice address

9360 W Flamingo Rd Ste 110-325
Las Vegas, NV 89147-6410

Phone

(702) 582-6633

NPI assigned

Mar 21, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Grant Kakita

Title

Ceo

Phone

(818) 601-7611

Specialties & licenses 1

Addresses

Other names 1

• Skinrehab Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1003310368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9360 W FLAMINGO RD STE 110-325",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476410",
            "telephone_number": "702-582-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9360 W FLAMINGO RD STE 110-325",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476410",
            "telephone_number": "702-582-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENORE S KAKITA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "KAKITA",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-601-7611"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skinrehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gary Charles Lenkeit, PH.D.
• Ishana Lennard
• Dyneisha Elizabeth Lennon
• Lequisha Lennox
• Janice Lenon
• Lenox Medical Services
• James Anthony Lentini Jr., APRN FNP-C PMHNP-BC
• Kaydraneice Lenton
• Brittni Marie Lents, IBCLC
• Douglas Munro Lentz, DPT

• Dermatology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dermatology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.