Individual provider Active NPI

Kenneth W Houchin, M. D.

  • Ophthalmology Physician
  • Elko, NV
National Provider Identifier
1720047699
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
8896 Issued in NV
Practice address
875 14TH St
Elko, NV 89801-3414
Phone
(775) 738-5193
Fax
(775) 778-6831
NPI assigned
Mar 20, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 8896 NV Primary

Addresses

Primary practice location

875 14TH St
Elko, NV 89801-3414

Mailing address

875 14TH St
Elko, NV 89801-3414
Phone (775) 738-5193

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
I20100913000620 CA Practitioner - Internal Medicine 9638294796 Reassigns benefits to 1 organization
I20110319000014 NV Practitioner - Ophthalmology 9638294796 Practice locations: Las Vegas, NV; Elko, NV

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loma Linda University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7530 W Sahara Ave
Suite 101
Las Vegas, NV 89117-2744
Phone (702) 718-2020

875 14TH St
Elko, NV 89801-3414
Phone (775) 738-5193

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Medical Clinic, Inc CurrentSince May 14, 2011 Accepting new patients
Riverside Medical Clinic, Inc Current Accepting new patients
Riverside Medical Clinic, Inc Ophthalmology CurrentSince May 14, 2011 Accepting new patients
Spring Valley Medical Center Past Accepting new patients

Locations

3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789

6405 Day St
Riverside, CA 92507
Phone (909) 683-6370

Organizations & group practices 5

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720047699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 14TH ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898013414",
            "telephone_number": "775-738-5193",
            "fax_number": "775-778-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 14TH ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898013414",
            "telephone_number": "775-738-5193",
            "fax_number": "775-778-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUCHIN",
        "first_name": "KENNETH",
        "middle_name": "W",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "8896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elko, NV

Sources for this page

Verify at the official NPI Registry.