Michael J McKenna MD Professional Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

5744 Issued in NV

Legal business name

MICHAEL J MCKENNA MD PROFESSIONAL CORPORATION

Doing business as

McKenna and Ruggeroli Pain Specialists

Practice address

8465 W Sahara Ave Ste 111-419
Las Vegas, NV 89117-8960

Phone

(702) 334-0260

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael J McKenna, M.D.

Title

President

Phone

(702) 334-0260

Specialties & licenses 1

Addresses

Other names 1

• McKenna and Ruggeroli Pain Specialists Doing business as

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Michael J. McKenna, MD, Professional Corporation

  • Non-Pharmacy Dispensing Site
  • Las Vegas, NV
  • NPI 1285991612
  NPPES parent name

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1760576847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8465 W SAHARA AVE STE 111-419",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178960",
            "telephone_number": "702-334-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8465 W SAHARA AVE STE 111-419",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178960",
            "telephone_number": "702-334-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J MCKENNA MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "MCKENNA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-334-0260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NV",
            "license": "5744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McKenna and Ruggeroli Pain Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael G. Logelin, DDS, PC
• Michael G. Valpiani MD LTD
• Michael Gene Valpiani MD LTD
• Michael H. Wood, M.D., PLLC
• Michael J Gunter LTD
• Michael J. Kim, DDS, LTD.
• Michael J. McKenna, MD, Professional Corporation
• Michael Karagiozis DO LTD
• Michael Lin Chiropractic LLC
• Michael Milligan PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.