Active NPI
Thomas C. Kim, MD
- Orthopaedic Surgery Physician
- Las Vegas, NV
National Provider Identifier
1477552727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 9965
- Practice address
- 7455 W Washington Ave
#160
Las Vegas, NV 89128-4337 - Phone
- (702) 878-0393
- Fax
- (702) 258-3780
- NPI assigned
- Jul 19, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 9965 | NV | Primary |
Addresses
Primary practice location
7455 W Washington Ave
#160
Las Vegas, NV 89128-4337
Mailing address
7455 W Washington Ave
#160
Las Vegas, NV 89128-4337
Phone (702) 878-0393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002018713 | Medicaid | NV |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9965 | NV | MD | Orthopaedic Surgery Physician |
Interoperability endpoints
- thomaskim@nosc.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438560000000",
"number": "1477552727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7455 W WASHINGTON AVE",
"address_2": "#160",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891284337",
"telephone_number": "702-878-0393",
"fax_number": "702-258-3780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7455 W WASHINGTON AVE",
"address_2": "#160",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891284337",
"telephone_number": "702-878-0393",
"fax_number": "702-258-3780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "THOMAS",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2015-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NV",
"license": "9965",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002018713",
"state": "NV"
}
],
"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 Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.