Hendershot Foot & Ankle Clinic, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

HENDERSHOT FOOT & ANKLE CLINIC, LLC

Practice address

3650 S Eastern Ave Ste 200
Las Vegas, NV 89169-3345

Phone

(702) 384-2544

Fax

(702) 384-8528

NPI assigned

Mar 12, 2024

Organization subpart

No

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

Authorized official

Name

Blair HendershotNPI 1881048205

Title

Owner

Phone

(435) 669-3676

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV2 enrollments

Enrollment records 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Blair Hendershot, DPM

  • Foot & Ankle Surgery Podiatrist
  • Las Vegas, NV
  • NPI 1881048205
  Medicare reassignment NPD Authorized official
• Earl Jacobson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Las Vegas, NV
  • NPI 1487682662
  Medicare reassignment NPD

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1306604434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 S EASTERN AVE STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693345",
            "telephone_number": "702-384-2544",
            "fax_number": "702-384-8528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 S EASTERN AVE STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693345",
            "telephone_number": "702-384-2544",
            "fax_number": "702-384-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSHOT FOOT & ANKLE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "HENDERSHOT",
        "authorized_official_first_name": "BLAIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-669-3676"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Renee Hemsley
• Lillian Hemsley
• Ashley Henard
• Alexandra Mary Hencken, PA-C
• Henco Incorporated L.L.C
• Blair Hendershot, DPM
• Henderson Ambulatory Surgery Center for Minimally Invasive Procedures
• Henderson CVS LLC
• Henderson Family Services LLC
• Henderson Mental Health LLC

• Foot & Ankle Surgery Podiatrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Foot & Ankle Surgery Podiatrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.