Organization Active NPI

Kideology, LTD

  • Early Intervention Provider Agency
  • Las Vegas, NV
National Provider Identifier
1063789105
Registry record updated Nov 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
NV20111674178 Issued in NV
Legal business name
KIDEOLOGY, LTD
Practice address
5120 S Eastern Ave
Las Vegas, NV 89119-2305
Phone
(702) 508-0908
Fax
(702) 508-9208
NPI assigned
Nov 17, 2011
Last updated
Nov 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2011

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

Authorized official

Name
Sarah Cwiak, DPT
Title
Managing Member
Phone
(702) 508-0908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NV20111674178 NV Primary

Addresses

Primary practice location

5120 S Eastern Ave
Las Vegas, NV 89119-2305

Mailing address

5120 S Eastern Ave
Las Vegas, NV 89119-2305
Phone (702) 508-0908

National Provider Directory

National Provider Directory

Locations

5120 S Eastern Ave
Las Vegas, NV 89119
Phone (702) 508-0908

NPI Registry JSON

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322265600000",
    "number": "1063789105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192305",
            "telephone_number": "702-508-0908",
            "fax_number": "702-508-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192305",
            "telephone_number": "702-508-0908",
            "fax_number": "702-508-9208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDEOLOGY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-26",
        "status": "A",
        "authorized_official_last_name": "CWIAK",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-508-0908",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NV",
            "license": "NV20111674178",
            "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 Nov 26, 2011; 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.