Active NPI
Kynetic Medical Group Inc
- Durable Medical Equipment & Medical Supplies
- Las Vegas, NV
National Provider Identifier
1588414965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- KYNETIC MEDICAL GROUP INC
- Practice address
- 1516 E Tropicana Ave Ste 190
Las Vegas, NV 89119-8323 - Phone
- (725) 250-8511
- Fax
- (702) 552-5042
- NPI assigned
- Mar 26, 2024
- Last updated
- Mar 26, 2024
- 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
- Jordana Lee Arpa
- Title
- Owner
- Phone
- (725) 250-8511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
1516 E Tropicana Ave Ste 190
Las Vegas, NV 89119-8323
Mailing address
1516 E Tropicana Ave Ste 190
Las Vegas, NV 89119-8323
Phone (725) 250-8511
National Provider Directory
National Provider DirectoryLocations
1516 E Tropicana Ave
Ste 190
Las Vegas, NV 89119
Phone (702) 203-1964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711411200000",
"number": "1588414965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1516 E TROPICANA AVE STE 190",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891198323",
"telephone_number": "725-250-8511",
"fax_number": "702-552-5042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1516 E TROPICANA AVE STE 190",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891198323",
"telephone_number": "725-250-8511",
"fax_number": "702-552-5042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KYNETIC MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-26",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A",
"authorized_official_last_name": "ARPA",
"authorized_official_first_name": "JORDANA",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "725-250-8511"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"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 Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.