Pardis a. Kelly DPM Inc.

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

PARDIS A. KELLY DPM INC.

Practice address

9940 W. Flamingo Road
Suite 101
Las Vegas, NV 89147

Phone

(702) 605-6220

Fax

(702) 605-5880

NPI assigned

Jan 29, 2021

Organization subpart

No

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

Authorized official

Name

Pardis A. Kelly, DPMNPI 1487684189

Title

President

Phone

(650) 303-5100

Specialties & licenses 1

Addresses

Other names 1

• Las Vegas Footcare Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pardis A Kelly, DPM

  • Podiatrist
  • Las Vegas, NV
  • NPI 1487684189
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1639760960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 W. CHARLESTON BLVD.",
            "address_2": "SUITE 102 PMB396",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89117",
            "telephone_number": "650-303-5100",
            "fax_number": "702-605-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9940 W. FLAMINGO ROAD",
            "address_2": "SUITE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89147",
            "telephone_number": "702-605-6220",
            "fax_number": "702-605-5880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10220 Penrith Ave Unit 204",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891446545",
            "country_code": "US",
            "telephone_number": "702-605-6220",
            "fax_number": "702-605-5880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PARDIS A. KELLY DPM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "PARDIS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-303-5100",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Vegas Footcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie Kathleen Parasugo, RDN, LD
• Landy Parce
• Maria C Parco
• Jazmin D Parcon, MD
• Paul Parcon, MD
• Ivan M Pardo- Abreu
• Andrea Paredes
• Aracelica Paredes
• Beatriz Paredes
• Jacqueline Paredes

• Podiatrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Podiatrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.