Organization Active NPI

Kwiatkowski Surgical PLLC

  • Specialist
  • Henderson, NV
National Provider Identifier
1124964044
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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

Updated by the provider on May 21, 2026

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

Authorized official

Name
Terrance James Kwiatkowski, MDNPI 1659353753
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)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.