Individual provider Active NPI

Kendall M Egan, M.D.

  • Dermatology Physician
  • Las Vegas, NV
National Provider Identifier
1619953056
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
20422 Issued in NV
Practice address
8660 Spring Mountain Rd Ste 101
Las Vegas, NV 89117-4101
Phone
(702) 930-6441
Fax
(702) 357-4283
NPI assigned
Dec 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 20422 NV Primary
Dermatology Physician 207N00000X A124554 CA

Addresses

Primary practice location

8660 Spring Mountain Rd Ste 101
Las Vegas, NV 89117-4101

Mailing address

8465 W Sahara Ave
Suite 111 PMB 473
Las Vegas, NV 89117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180629001720 CA Practitioner - Dermatology 2769609254 Reassigns benefits to 2 organizations
I20210916001690 NV Practitioner - Dermatology 2769609254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, Davis School of Medicine, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8660 Spring Mountain Rd
Suite 101
Las Vegas, NV 89117-4101
Phone (702) 930-6441

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions20
Skin biopsy36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A124554CAMDDermatology Physician
20422NVMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Las Vegas Integrative Dermatology PLLC Dermatology CurrentSince Dec 1, 2023 Accepting new patients
Confermed of California PC CurrentSince Apr 12, 2024 Accepting new patients
Csi Medical Group Dermatology CurrentSince Jun 15, 2022 Accepting new patients
David B. Friedman, MD, Inc Dermatology Current Accepting new patients
Vein Specialists of North Carolina, PA Past Accepting new patients
Confermed PC Dermatology Past Accepting new patients

Locations

1165 N Euclid St
Anaheim, CA 92801
Phone (714) 991-9990

101 Academy
Ste 100
Irvine, CA 92617
Phone (860) 323-0172

9781 Blue Larkspur Ln
Ste 100
Monterey, CA 93940
Phone (831) 333-9008

18988 Cox Ave
Ste B
Saratoga, CA 95070
Phone (408) 253-4407

4201 Torrance Blvd
Ste 640
Torrance, CA 90503
Phone (310) 375-9994

1934 Via Ctr
Ste B
Vista, CA 92081
Phone (760) 295-2299

2395 S Melrose Dr
Vista, CA 92081
Phone (760) 216-5313

11 Silver St
Unit 856
Middletown, CT 06457

8660 Spring Mountain Rd
Ste 101
Las Vegas, NV 89117
Phone (702) 462-5252

8465 W Sahara Ave
Ste 111
Las Vegas, NV 89117
Phone (725) 735-4145

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1619953056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8465 W SAHARA AVE",
            "address_2": "SUITE 111 PMB 473",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8660 SPRING MOUNTAIN RD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174101",
            "telephone_number": "702-930-6441",
            "fax_number": "702-357-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAN",
        "first_name": "KENDALL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NV",
            "license": "20422",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A124554",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.