Active NPI
Reginald King
- Rehabilitation Practitioner
- North Las Vegas, NV
National Provider Identifier
1336881119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 2736 Columbia CT
North Las Vegas, NV 89030-4644 - Phone
- (404) 910-9097
- NPI assigned
- Apr 11, 2022
- Last updated
- Apr 26, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | NU | Primary |
Addresses
Primary practice location
2736 Columbia CT
North Las Vegas, NV 89030-4644
Mailing address
2736 Columbia CT
North Las Vegas, NV 89030-4644
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | reggieking33@mail.com | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650931200000",
"number": "1336881119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2736 COLUMBIA CT",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890304644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2736 COLUMBIA CT",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890304644",
"telephone_number": "404-910-9097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "REGINALD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-11",
"last_updated": "2022-04-26",
"certification_date": "2022-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "reggieking33@mail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2736 Columbia Ct",
"city": "North Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "890304644",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.