Phelps C Kip, MD

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

6889 Issued in NV

Practice address

6630 S McCarran Blvd
Suite a-4
Reno, NV 89509-6158

Phone

(775) 828-2873

Fax

(775) 828-2889

NPI assigned

Dec 20, 2005

Last updated

Mar 2, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sierra Regional Spine Institute

  • Orthopaedic Surgery Physician
  • Reno, NV
  • NPI 1104802297

  Orthopaedic Surgery of the Spine

  Medicare reassignment NPD
• William Bee Ririe Hospital

  • Critical Access Hospital
  • Ely, NV
  • NPI 1487648804
  Medicare reassignment NPD
• Sierraregionalspineinstistutejamesrrappaportmdphelpsckipmdpc

  dba Sierra Regional Spine Institute

  • Specialist
  • Reno, NV
  • NPI 1609884972
  NPD
• William Bee Ririe Retail Pharmacy

  • Community/Retail Pharmacy
  • Ely, NV
  • NPI 1831729268
  NPD
• Robert G Berry Jr LTD

  dba Mountain West Sport and Spine

  • Physical Medicine & Rehabilitation Physician
  • Reno, NV
  • NPI 1386654911
  NPD (past)

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267488000000",
    "number": "1154307320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 S MCCARRAN BLVD",
            "address_2": "SUITE A-4",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096158",
            "telephone_number": "775-828-2873",
            "fax_number": "775-828-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 S MCCARRAN BLVD",
            "address_2": "SUITE A-4",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096158",
            "telephone_number": "775-828-2873",
            "fax_number": "775-828-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIP",
        "first_name": "PHELPS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2010-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NV",
            "license": "6889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11040852",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002016857",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melinda Jean Kinsey, CPC-INTERN
• Heidi Jeanette Kinsinger, LD
• Anna Christine Kintzer
• Katrinka T Kip, MD
• Krista Ann Kip, DC
• Scott D Kipling, APRN
• Kamala Kirby
• Katelynn Kirchubel
• James L Kirk, EDS, MFT
• Melissa Nuntapreda Kirk, MD

• Orthopaedic Surgery of the Spine Physician in Reno, NV
• Providers in Reno, NV by specialty
• Orthopaedic Surgery of the Spine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.