Mary Kiepert, MD. LTD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

10561 Issued in NV

Legal business name

MARY KIEPERT, MD. LTD

Practice address

2810 S Jones Blvd
Suite #1
Las Vegas, NV 89146-5648

Phone

(702) 873-1899

Fax

(702) 873-7476

NPI assigned

Dec 5, 2013

Organization subpart

No

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

Authorized official

Name

Mary Kiepert, MDNPI 1235133224

Title

President

Phone

(702) 873-1899

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Tendercare Pediatrics Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Mary Kiepert, MD

  • Pediatrics Physician
  • Las Vegas, NV
  • NPI 1235133224
  NPD (past) Authorized official
• Dianne Lynn Galgana

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1942661384
  NPD (past)

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386201600000",
    "number": "1730510447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 S JONES BLVD",
            "address_2": "SUITE #1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465648",
            "telephone_number": "702-873-1899",
            "fax_number": "702-873-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 S JONES BLVD",
            "address_2": "SUITE #1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465648",
            "telephone_number": "702-873-1899",
            "fax_number": "702-873-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY KIEPERT, MD. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-05",
        "last_updated": "2013-12-05",
        "status": "A",
        "authorized_official_last_name": "KIEPERT",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-873-1899",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "10561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100501822",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100501918",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tendercare Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Marx
• Mary Hartsell Therapy LLC
• Mary Home Health, Inc.
• Mary Jewels Health Services Inc
• Mary Jo Gill
• Maryam Sina
• Rida Maryam
• Maryanne D. Phillips MD Apc
• Maryland Health Services LLC
• Maryland Mobile Health LLC

• Pediatrics Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pediatrics Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.