NPIMap

Organization Active NPI

Jeannie Khavkin MD PC

  • Facial Plastic Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1518273028
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
Legal business name
JEANNIE KHAVKIN MD PC
Practice address
653 N Town Center Dr Ste 308
Las Vegas, NV 89144-0517
Phone
(702) 242-3223
Fax
(702) 270-3224
NPI assigned
Aug 20, 2010
Last updated
Aug 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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

Authorized official

Name
Jeannie Khavkin, MDNPI 1144470048
Title
President
Phone
(702) 242-3223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X
Facial Plastic Surgery Physician 207YS0123X Primary

Addresses

Primary practice location

653 N Town Center Dr Ste 308
Las Vegas, NV 89144-0517

Mailing address

653 N Town Center Dr Ste 308
Las Vegas, NV 89144-0517
Phone (702) 242-3223

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1518273028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR STE 308",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440517",
            "telephone_number": "702-242-3223",
            "fax_number": "702-270-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR STE 308",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440517",
            "telephone_number": "702-242-3223",
            "fax_number": "702-270-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNIE KHAVKIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "KHAVKIN",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-242-3223",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "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 Aug 20, 2010; 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.