Active NPI
Kinman Poon, MD
- Surgery Physician
- Las Vegas, NV
National Provider Identifier
1043402415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 3707
- Practice address
- 906 Trophy Hills Dr
Las Vegas, NV 89134-6327 - Phone
- (702) 233-5555
- Fax
- (702) 255-7496
- NPI assigned
- Aug 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 3707 | NV | Primary |
Addresses
Primary practice location
906 Trophy Hills Dr
Las Vegas, NV 89134-6327
Mailing address
906 Trophy Hills Dr
Las Vegas, NV 89134-6327
Phone (702) 233-5555
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3707 | NV | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186617600000",
"number": "1043402415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 TROPHY HILLS DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891346327",
"telephone_number": "702-233-5555",
"fax_number": "702-255-7496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 TROPHY HILLS DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891346327",
"telephone_number": "702-233-5555",
"fax_number": "702-255-7496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POON",
"first_name": "KINMAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-09",
"last_updated": "2007-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NV",
"license": "3707",
"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 Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.