Active NPI
Kenneth Wilford Schmutz, D.P.M.
- Foot Surgery Podiatrist
- Las Vegas, NV
National Provider Identifier
1043270317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 0040
- Practice address
- 3777 S Pecos McLeod
Suite 103
Las Vegas, NV 89121-4265 - Phone
- (702) 434-2023
- Fax
- (702) 434-1976
- NPI assigned
- Mar 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 0040 | NV | Primary |
Addresses
Primary practice location
3777 S Pecos McLeod
Suite 103
Las Vegas, NV 89121-4265
Mailing address
3777 S Pecos McLeod
Suite 103
Las Vegas, NV 89121-4265
Phone (702) 434-2023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40 | NV | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Podiatry LLC | Foot Surgery | Past | Accepting new patients |
| Ryan K Anderson D P M P C | Foot Surgery | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207785600000",
"number": "1043270317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3777 S PECOS MCLEOD",
"address_2": "SUITE 103",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891214265",
"telephone_number": "702-434-2023",
"fax_number": "702-434-1976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3777 S PECOS MCLEOD",
"address_2": "SUITE 103",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891214265",
"telephone_number": "702-434-2023",
"fax_number": "702-434-1976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMUTZ",
"first_name": "KENNETH",
"middle_name": "WILFORD",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2008-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NV",
"license": "0040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.