Active NPI
Richard Wayne Klatt, DO
- Pediatrics Physician
- Las Vegas, NV
National Provider Identifier
1073515680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 376
- Practice address
- 3150 N Tenaya Way
Ste 255
Las Vegas, NV 89128-0443 - Phone
- (702) 870-2099
- Fax
- (702) 869-5347
- NPI assigned
- Aug 12, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 376 | NV | Primary |
Addresses
Primary practice location
3150 N Tenaya Way
Ste 255
Las Vegas, NV 89128-0443
Mailing address
PO Box 1737
Las Vegas, NV 89125-1737
Phone (702) 671-6845
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 376 | NV | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194912000000",
"number": "1073515680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1737",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891251737",
"telephone_number": "702-671-6845",
"fax_number": "702-671-6883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 N TENAYA WAY",
"address_2": "STE 255",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280443",
"telephone_number": "702-870-2099",
"fax_number": "702-869-5347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLATT",
"first_name": "RICHARD",
"middle_name": "WAYNE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2007-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NV",
"license": "376",
"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 13, 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.