Organization Active NPI

Kevin L Kaldy DC PC

Doing business as The Las Vegas Pain and Wellness Center

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1265593776
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B929 Issued in NV
Legal business name
KEVIN L KALDY DC PC
Doing business as
The Las Vegas Pain and Wellness Center
Practice address
8821 W Sahara Ave Ste 120
Las Vegas, NV 89117-5893
Phone
(702) 212-3333
Fax
(702) 212-3300
NPI assigned
Dec 12, 2006
Last updated
Jul 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Authorized official

Name
Dr. Kevin Louis Kaldy, DCNPI 1508978768
Title
Owner
Phone
(702) 232-4610

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
Chiropractor 111N00000X B929 NV Primary

Addresses

Primary practice location

8821 W Sahara Ave Ste 120
Las Vegas, NV 89117-5893

Mailing address

PO Box 642
Monterey, CA 93942-0642
Phone (702) 232-4610

Other names 1

  • The Las Vegas Pain and Wellness Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050414000925 NV Part B Supplier - Clinic/Group Practice 1355388935 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

5650 W Flamingo Rd
Ste A
Las Vegas, NV 89103
Phone (702) 221-0991

6620 W Flamingo Rd
Ste 8
Las Vegas, NV 89103
Phone (702) 876-3300

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1265593776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 642",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939420642",
            "telephone_number": "702-232-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8821 W SAHARA AVE STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175893",
            "telephone_number": "702-212-3333",
            "fax_number": "702-212-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN L KALDY DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "KALDY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-232-4610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Las Vegas Pain and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.