Active NPI
Esteban Hennings PC
- Internal Medicine Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ESTEBAN HENNINGS PC
- Practice address
- 3201 S Maryland Pkwy Ste 512
Las Vegas, NV 89109-2427 - Phone
- (702) 685-7700
- Fax
- (702) 629-7800
- NPI assigned
- Apr 19, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Esteban C Hennings, MD
- Title
- President
- Phone
- (702) 685-7700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | |||
| Medical Physician Assistant | 363AM0700X | |||
| Primary Care Nurse Practitioner | 363LP2300X |
Addresses
Primary practice location
3201 S Maryland Pkwy Ste 512
Las Vegas, NV 89109-2427
Mailing address
284-C E Lake Mead Pkwy
PMB 261
Henderson, NV 89015-6433
Phone (702) 685-7700
Other names 1
- Humanitas Primary Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 29D2028029 | Humanitas Primary Care | Certificate of waiver | Aug 7, 2027 |
National Provider Directory
National Provider DirectoryLocations
3201 S Maryland Pkwy
Ste 414
Las Vegas, NV 89109
Phone (702) 735-9337
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1932210457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627776000000",
"number": "1033352190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284-C E LAKE MEAD PKWY",
"address_2": "PMB 261",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890156433",
"telephone_number": "702-685-7700",
"fax_number": "702-629-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 S MARYLAND PKWY STE 512",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891092427",
"telephone_number": "702-685-7700",
"fax_number": "702-629-7800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESTEBAN HENNINGS PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-19",
"last_updated": "2021-08-01",
"certification_date": "2021-08-01",
"status": "A",
"authorized_official_last_name": "HENNINGS",
"authorized_official_first_name": "ESTEBAN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "702-685-7700",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Humanitas Primary Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Humanitas Primary Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.