Active NPI
Kwiatkowski Surgical PLLC
- Specialist
- Henderson, NV
National Provider Identifier
1124964044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- KWIATKOWSKI SURGICAL PLLC
- Practice address
- 2505 Anthem Village Dr Ste E-298
Henderson, NV 89052-5505 - Phone
- (702) 688-9593
- NPI assigned
- Apr 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terrance James Kwiatkowski, MD
- Title
- Owner
- Phone
- (702) 688-9593
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
2505 Anthem Village Dr Ste E-298
Henderson, NV 89052-5505
Mailing address
2505 Anthem Village Dr Ste E-298
Henderson, NV 89052-5505
Phone (702) 688-9593
National Provider Directory
National Provider DirectoryLocations
2505 Anthem Village Dr
Ste E298
Henderson, NV 89052
Phone (702) 688-9593
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otology & Neurotology Physician
- Henderson, NV
- NPI 1659353753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779321600000",
"number": "1124964044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 ANTHEM VILLAGE DR STE E-298",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890525505",
"telephone_number": "702-688-9593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 ANTHEM VILLAGE DR STE E-298",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890525505",
"telephone_number": "702-688-9593"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KWIATKOWSKI SURGICAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-24",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A",
"authorized_official_last_name": "KWIATKOWSKI",
"authorized_official_first_name": "TERRANCE",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-688-9593",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.