Organization Active NPI

Dynamic Wound Care LLC

  • General Practice Physician
  • Las Vegas, NV
National Provider Identifier
1316810450
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DYNAMIC WOUND CARE LLC
Practice address
9550 S Eastern Ave Ste 248
Las Vegas, NV 89123-8041
Phone
(305) 901-5055
NPI assigned
Sep 25, 2025
Last updated
Sep 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Kirill Filatov
Title
Cfo
Phone
(305) 901-5055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

9550 S Eastern Ave Ste 248
Las Vegas, NV 89123-8041

Mailing address

9550 S Eastern Ave Ste 248
Las Vegas, NV 89123-8041
Phone (305) 901-5055

National Provider Directory

National Provider Directory

Locations

9550 S Eastern Ave
Ste 248
Las Vegas, NV 89123
Phone (702) 384-0053

NPI Registry JSON

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1316810450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 S EASTERN AVE STE 248",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891238041",
            "telephone_number": "305-901-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 S EASTERN AVE STE 248",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891238041",
            "telephone_number": "305-901-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "FILATOV",
        "authorized_official_first_name": "KIRILL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "305-901-5055"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "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 Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.