Active NPI
Henry Ky, MD
- Pediatrics Physician
- Las Vegas, NV
National Provider Identifier
1295836203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- NV11724
- Practice address
- 6850 N Durango Dr
Suite 406
Las Vegas, NV 89149 - Phone
- (702) 260-4525
- Fax
- (702) 869-0133
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NV11724 | NV | Primary |
Addresses
Primary practice location
6850 N Durango Dr
Suite 406
Las Vegas, NV 89149
Mailing address
PO Box 50150
Henderson, NV 89016
Phone (702) 260-4525
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NV11724 | NV | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summerlin Hospital Medical Center L L C | Past | Accepting new patients | |
| Desert Valley Pediatrics, LLP | Pediatrics | Past | Accepting new patients |
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.
-
- Pediatrics Physician
- Las Vegas, NV
- NPI 1649360967
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1831189638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1295836203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50150",
"city": "HENDERSON",
"state": "NV",
"postal_code": "89016",
"telephone_number": "702-260-4525",
"fax_number": "702-869-0133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6850 N DURANGO DR",
"address_2": "SUITE 406",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89149",
"telephone_number": "702-260-4525",
"fax_number": "702-869-0133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KY",
"first_name": "HENRY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NV",
"license": "NV11724",
"primary": true
}
],
"identifiers": [],
"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 Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.