Organization Active NPI

Kent Swaine MD PC

  • Family Medicine Physician
  • Henderson, NV
National Provider Identifier
1154354207
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9815 Issued in NV
Legal business name
KENT SWAINE MD PC
Practice address
2610 W Horizon Ridge Pkwy
Suite #103
Henderson, NV 89052-2869
Phone
(702) 407-8241
Fax
(702) 492-1728
NPI assigned
Jul 9, 2006
Last updated
Oct 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Kent Alan Swaine, M.D.NPI 1386697415
Title
President
Phone
(702) 596-2080

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
Family Medicine Physician 207Q00000X 9815 NV Primary

Addresses

Primary practice location

2610 W Horizon Ridge Pkwy
Suite #103
Henderson, NV 89052-2869

Mailing address

PO Box 36670
Las Vegas, NV 89133-6670
Phone (702) 407-8241

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1154354207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36670",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891336670",
            "telephone_number": "702-407-8241",
            "fax_number": "702-492-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 W HORIZON RIDGE PKWY",
            "address_2": "SUITE #103",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522869",
            "telephone_number": "702-407-8241",
            "fax_number": "702-492-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT SWAINE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "SWAINE",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-596-2080",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "9815",
            "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 Oct 12, 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.

Verify at the official NPI Registry.