Active NPI
Christopher Khorsandi, MD
- Plastic and Reconstructive Surgery Physician
- Henderson, NV
National Provider Identifier
1235376377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 13044
- Practice address
- 2779 Sunridge Heights Pkwy
Ste 100
Henderson, NV 89052-5050 - Phone
- (702) 608-1318
- Fax
- (702) 446-8026
- NPI assigned
- Jan 12, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | A104346 | CA | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 13044 | NV | Primary |
Addresses
Primary practice location
2779 Sunridge Heights Pkwy
Ste 100
Henderson, NV 89052-5050
Mailing address
4616 W Sahara Ave
Suite 376
Las Vegas, NV 89102-3654
Phone (702) 608-1318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A104346 | CA | MD | Surgery of the Hand (Plastic Surgery) Physician |
| 13044 | NV | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Hand & Orthopedics Las Vegas | Current | Accepting new patients | |
| Christopher Khorsandi M.D. PLLC | Surgery of the Hand | Past | Accepting new patients |
Locations
2865 Siena Heights Dr
Ste 200
Henderson, NV 89052
Phone (702) 586-3211
4131 Directors Row
Houston, TX 77092
Phone (713) 586-6705
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery of the Hand (Plastic Surgery) Physician
- Henderson, NV
- NPI 1770912743
-
- Surgery of the Hand (Surgery) Physician
- Henderson, NV
- NPI 1912225558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392854400000",
"number": "1235376377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4616 W SAHARA AVE",
"address_2": "SUITE 376",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891023654",
"telephone_number": "702-608-1318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2779 SUNRIDGE HEIGHTS PKWY",
"address_2": "STE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890525050",
"telephone_number": "702-608-1318",
"fax_number": "702-446-8026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHORSANDI",
"first_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-12",
"last_updated": "2014-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "CA",
"license": "A104346",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "NV",
"license": "13044",
"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 Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.