Organization Active NPI

Kynetic Medical Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
National Provider Identifier
1588414965
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.