Organization Active NPI

David Krulewitz DPM LTD

  • Foot Surgery Podiatrist
  • Las Vegas, NV
National Provider Identifier
1275715781
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
0053 Issued in NV
Legal business name
DAVID KRULEWITZ DPM LTD
Practice address
6376 Spring Mountain Rd Ste 6
Las Vegas, NV 89146-8818
Phone
(702) 871-9292
Fax
(702) 871-8382
NPI assigned
Nov 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Dr. David Leslie Krulewitz, DPMNPI 1972571966
Title
President
Phone
(702) 871-9292

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
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 0053 NV Primary

Addresses

Primary practice location

6376 Spring Mountain Rd Ste 6
Las Vegas, NV 89146-8818

Mailing address

6376 Spring Mountain Rd Ste 6
Las Vegas, NV 89146-8818
Phone (702) 871-9292

Other identifiers 1

IdentifierTypeStateIssuer
V37019OtherNVPROVIDER #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040702000656 NV Part B Supplier - Clinic/Group Practice 1658358031 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

6376 Spring Mountain Rd
Ste 6
Las Vegas, NV 89146
Phone (702) 871-9292

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": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1275715781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6376 SPRING MOUNTAIN RD STE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468818",
            "telephone_number": "702-871-9292",
            "fax_number": "702-871-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6376 SPRING MOUNTAIN RD STE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468818",
            "telephone_number": "702-871-9292",
            "fax_number": "702-871-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID KRULEWITZ DPM LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "KRULEWITZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-871-9292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NV",
            "license": "0053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER #",
            "identifier": "V37019",
            "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 Nov 27, 2007; 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.