Organization Active NPI

Kenny Elias Hanna MD

  • Orthopaedic Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1124535323
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
14660 Issued in NV
Legal business name
KENNY ELIAS HANNA MD
Practice address
7140 Smoke Ranch Rd Ste 150
Las Vegas, NV 89128-3157
Phone
(702) 320-8111
Fax
(702) 320-8112
NPI assigned
Jan 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Authorized official

Name
Kenny Elias Hanna Jr., MDNPI 1629283510
Title
President
Phone
(702) 320-8111

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X 14660 NV Primary
Orthopaedic Hand Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XS0106X 14660 NV

Addresses

Primary practice location

7140 Smoke Ranch Rd Ste 150
Las Vegas, NV 89128-3157

Mailing address

7140 Smoke Ranch Rd Ste 150
Las Vegas, NV 89128-3157
Phone (702) 320-8111

Other practice location 1

1241 S Glendale Ave Ste 201
Glendale, CA 91205-3388
Phone (818) 602-0004

Other practice location 2

8930 W Sunset Rd Ste 350
Las Vegas, NV 89148-5042
Phone (702) 320-8111

Other names 1

  • Extremities Surgical Institute Doing business as

National Provider Directory

National Provider Directory

Locations

7140 Smoke Ranch Rd
Ste 150
Las Vegas, NV 89128
Phone (702) 839-4821

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1124535323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7140 SMOKE RANCH RD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891283157",
            "telephone_number": "702-320-8111",
            "fax_number": "702-320-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7140 SMOKE RANCH RD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891283157",
            "telephone_number": "702-320-8111",
            "fax_number": "702-320-8112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1241 S Glendale Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912053388",
            "country_code": "US",
            "telephone_number": "818-602-0004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8930 W Sunset Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891485042",
            "country_code": "US",
            "telephone_number": "702-320-8111",
            "fax_number": "702-320-8112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KENNY ELIAS HANNA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "KENNY",
        "authorized_official_middle_name": "ELIAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-320-8111",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NV",
            "license": "14660",
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NV",
            "license": "14660",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Extremities Surgical Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Extremities Surgical Institute",
            "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 Oct 22, 2018; 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.