NPIMap

Organization Active NPI

Thomman Kuruvilla LLC

  • Foot & Ankle Surgery Podiatrist
  • Las Vegas, NV
National Provider Identifier
1447435748
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0606 Issued in NV
Legal business name
THOMMAN KURUVILLA LLC
Practice address
3017 W Charleston Blvd
Suite 90
Las Vegas, NV 89102-1941
Phone
(702) 878-5252
NPI assigned
Jan 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Authorized official

Name
Dr. Thomman Kuruvilla, DPM
Title
President
Phone
(646) 369-4507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 0606 NV Primary

Addresses

Primary practice location

3017 W Charleston Blvd
Suite 90
Las Vegas, NV 89102-1941

Mailing address

PO Box 98898
Drawer #1014
Las Vegas, NV 89193-8898
Phone (646) 369-4507

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1447435748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98898",
            "address_2": "DRAWER #1014",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891938898",
            "telephone_number": "646-369-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 W CHARLESTON BLVD",
            "address_2": "SUITE 90",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021941",
            "telephone_number": "702-878-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMMAN KURUVILLA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "KURUVILLA",
        "authorized_official_first_name": "THOMMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-369-4507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NV",
            "license": "0606",
            "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 Jan 4, 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.

Verify at the official NPI Registry.