Organization Active NPI

R. Kenneth Landow, M.D. LTD

  • Specialist
  • Las Vegas, NV
National Provider Identifier
1235346016
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3343 Issued in NV
Legal business name
R. KENNETH LANDOW, M.D. LTD
Practice address
10080 Alta Dr
Suite 120
Las Vegas, NV 89145-8723
Phone
(702) 451-3376
Fax
(702) 451-0041
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Authorized official

Name
R. Kenneth Landow, M.D.
Title
Physician
Phone
(702) 451-3376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 3343 NV Primary

Addresses

Primary practice location

10080 Alta Dr
Suite 120
Las Vegas, NV 89145-8723

Mailing address

10080 Alta Dr
Suite 120
Las Vegas, NV 89145-8723
Phone (702) 451-3376

Other identifiers 1

IdentifierTypeStateIssuer
2002054MedicaidNV

National Provider Directory

National Provider Directory

Locations

1485 W Warm Springs Rd
Ste 102
Henderson, NV 89014
Phone (702) 435-7987

10080 Alta Dr
Ste 120
Las Vegas, NV 89145
Phone (702) 255-6647

8285 W Arby Ave
Ste 320
Las Vegas, NV 89113
Phone (702) 451-3376

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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1235346016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10080 ALTA DR",
            "address_2": "SUITE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891458723",
            "telephone_number": "702-451-3376",
            "fax_number": "702-451-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10080 ALTA DR",
            "address_2": "SUITE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891458723",
            "telephone_number": "702-451-3376",
            "fax_number": "702-451-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. KENNETH LANDOW, M.D. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "LANDOW",
        "authorized_official_first_name": "R.",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "702-451-3376",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NV",
            "license": "3343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002054",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.