Active NPI
Pain Institute of Nevada, Inc.
- Pain Clinic/Center
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- Legal business name
- PAIN INSTITUTE OF NEVADA, INC.
- Practice address
- 7065 W Ann Rd Ste 130-548
Las Vegas, NV 89130 - Phone
- (702) 878-8252
- Fax
- (702) 878-9096
- NPI assigned
- Jun 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Walter M Kidwell, MD
- Title
- Owner Pres Ceo
- Phone
- (702) 878-8252
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | Primary |
Addresses
Primary practice location
7065 W Ann Rd Ste 130-548
Las Vegas, NV 89130
Mailing address
7435 W Azure Dr Ste 190
Las Vegas, NV 89130-4427
Phone (702) 878-8252
Other practice location 1
600 S Rancho Dr
Ste 113
Las Vegas, NV 89106-4867
Phone (702) 878-8252 ext. 231
Other practice location 2
7065 W Ann Rd Ste 130-548
Las Vegas, NV 89130
Phone (702) 878-8252 ext. 240
National Provider Directory
National Provider DirectoryLocations
4045 S Buffalo Dr
Ste A101
Las Vegas, NV 89147
7065 W Ann Rd
Ste 130548
Las Vegas, NV 89130
Phone 7028788252 ext. 240
7435 W Azure Dr
Ste 190
Las Vegas, NV 89130
Phone (702) 363-3666
4045 S Buffalo Dr
Ste A101172
Las Vegas, NV 89147
Phone (702) 878-8252
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Las Vegas, NV
- NPI 1386685733
-
- Pain Medicine Physician
- North Las Vegas, NV
- NPI 1699791954
-
- Physician Assistant
- Las Vegas, NV
- NPI 1801839196
-
- Nurse Practitioner
- Las Vegas, NV
- NPI 1649211095
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1861632838
-
- Pain Medicine (Anesthesiology) Physician
- Lebanon, PA
- NPI 1629099106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560297600000",
"number": "1376571331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7435 W AZURE DR STE 190",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891304427",
"telephone_number": "702-878-8252",
"fax_number": "702-878-9096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7065 W ANN RD STE 130-548",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89130",
"telephone_number": "702-878-8252",
"fax_number": "702-878-9096"
}
],
"practiceLocations": [
{
"address_1": "600 S Rancho Dr",
"address_2": "Ste 113",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891064867",
"country_code": "US",
"telephone_number": "702-878-8252 x231",
"fax_number": "702-878-9096",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7065 W Ann Rd Ste 130-548",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "89130",
"country_code": "US",
"telephone_number": "702-878-8252 x240",
"fax_number": "702-878-9096",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PAIN INSTITUTE OF NEVADA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-29",
"last_updated": "2019-06-12",
"status": "A",
"authorized_official_last_name": "KIDWELL",
"authorized_official_first_name": "WALTER",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER PRES CEO",
"authorized_official_telephone_number": "702-878-8252",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"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 Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.