Organization Active NPI

Amde PLLC

Doing business as Desert Kidney and Hypertension Specialists

  • Nephrology Physician
  • Henderson, NV
National Provider Identifier
1457774986
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
14455 Issued in NV
Legal business name
AMDE PLLC
Doing business as
Desert Kidney and Hypertension Specialists
Practice address
2610 W Horizon Ridge Pkwy
Suite 200
Henderson, NV 89052-2869
Phone
(702) 407-8241
Fax
(702) 492-1728
NPI assigned
Feb 4, 2014
Last updated
Jun 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Mrs. Milen Amde, MD
Title
President
Phone
(312) 882-1980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 14455 NV Primary

Addresses

Primary practice location

2610 W Horizon Ridge Pkwy
Suite 200
Henderson, NV 89052-2869

Mailing address

2610 W Horizon Ridge Pkwy
Suite 200
Henderson, NV 89052-2869
Phone (702) 407-8241

Other identifiers 1

IdentifierTypeStateIssuer
1376710277MedicaidNV

Other names 1

  • Desert Kidney and Hypertension Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

2610 W Horizon Ridge Pkwy
Henderson, NV 89052
Phone (702) 565-3037

NPI Registry JSON

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1457774986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522869",
            "telephone_number": "702-407-8241",
            "fax_number": "702-492-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522869",
            "telephone_number": "702-407-8241",
            "fax_number": "702-492-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMDE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "AMDE",
        "authorized_official_first_name": "MILEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-882-1980",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NV",
            "license": "14455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376710277",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Kidney and Hypertension Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.