Alvin Kenon

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7998-C Issued in NV

Practice address

1785 E Sahara Ave Ste 160
Las Vegas, NV 89104-3759

Phone

(702) 252-8342

Fax

(702) 252-8349

NPI assigned

Jun 5, 2015

Last updated

Aug 13, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alvinkenon@tdh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 58 10 Behavioral Health Services PLLC

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1780217679
  Medicare reassignment NPD Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1275913030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 E SAHARA AVE STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043759",
            "telephone_number": "702-252-8342",
            "fax_number": "702-252-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 E SAHARA AVE STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043759",
            "telephone_number": "702-252-8342",
            "fax_number": "702-252-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENON",
        "first_name": "ALVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-05",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "7998-C",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "7064-S",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juanita Kennon
• Travis Angelo Kennon
• Kenny Elias Hanna MD (Extremities Surgical Institute)
• Mikal A Kenny
• Thomas Kenny, D.M.D.
• Kenshia McKinzie (Decisions behavioral health center)
• Emily Kenslow
• Kent L. Phillips, D.D.S., M.S., LTD.
• Kent Wagner Jr DDS PC
• Antionetta Kent

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.