Dmytro Bond, MD
Individual provider Active NPI Pediatrics Physician · Las Vegas, NV
NPI 1164482147 · NPPES record last updated Oct 17, 2012
Key facts
- NPI
- 1164482147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 9546 (NV)
- Practice address
- 5751 S Fort Apache Rd
Suite a
Las Vegas, NV 89148-5624 - Phone
- (702) 939-0480
- Fax
- (702) 939-0482
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9546 | NV | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bond Pediatrics LTD | Pediatrics | Past | Accepting new patients |
| Summerlin Hospital Medical Center L L C | Past | Accepting new patients | |
| Spring Valley Medical Center | Past | Accepting new patients | |
| Southern Hills Medical Center, LLC | Past | Accepting new patients | |
| Desert Springs Hospital | Past | Accepting new patients | |
| Sunrise Hospital and Medical Center, LLC | Past | Accepting new patients |
Interoperability endpoints
- dmytro@bondpediatrics.direct.emds.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 9546 | NV | Yes |
Addresses
Primary practice location
5751 S Fort Apache Rd
Suite a
Las Vegas, NV 89148-5624
Mailing address
5751 S Fort Apache Rd
Suite a
Las Vegas, NV 89148
Phone (702) 939-0480
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003102645 | Medicaid | NV | |
| 002018545 | Medicaid | NV |
Other names
- Dr. Dmytro Bondaryev
Other providers in Las Vegas, NV
- Bonny Raphael Bonaparte II
- Maureen Bonar
- Jacqueline Bonavente
- Alexander Bonczyk
- Bond Pediatrics LTD
- Geraldine Bond
- Morgan Bond
- Nora Bond
- Maris Bondars
- Ryan Bonde
All providers in Las Vegas, NV · Pediatrics Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.