Organization Active NPI

Kantor Nephrology Consultants, LTD

  • Nephrology Physician
  • Las Vegas, NV
National Provider Identifier
1811925480
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
5398 Issued in NV
Legal business name
KANTOR NEPHROLOGY CONSULTANTS, LTD
Practice address
1750 E Desert Inn Rd
#200
Las Vegas, NV 89109-3202
Phone
(702) 732-2438
Fax
(702) 737-5043
NPI assigned
Jun 30, 2006
Last updated
Nov 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Authorized official

Name
Dr. Marwan Takieddine, M.D.NPI 1023099132
Title
Managing Shareholder
Phone
(702) 732-2438

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 5398 NV Primary

Addresses

Primary practice location

1750 E Desert Inn Rd
#200
Las Vegas, NV 89109-3202

Mailing address

1750 E Desert Inn Rd
#200
Las Vegas, NV 89169-3202
Phone (702) 732-2438

National Provider Directory

National Provider Directory

Locations

2403 N Stockton Hill Rd
Ste 3
Kingman, AZ 86401
Phone (602) 753-6556

50322 File
Los Angeles, CA 90074

1750 E Desert Inn Rd
#200
Las Vegas, NV 89169
Phone (702) 732-2438

1750 E Desert Inn Rd
Ste 200
Las Vegas, NV 89169
Phone (702) 732-2438

7040 W Sunset Rd
Las Vegas, NV 89113
Phone (702) 248-1807

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1811925480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 E DESERT INN RD",
            "address_2": "#200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693202",
            "telephone_number": "702-732-2438",
            "fax_number": "702-737-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 E DESERT INN RD",
            "address_2": "#200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891093202",
            "telephone_number": "702-732-2438",
            "fax_number": "702-737-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANTOR NEPHROLOGY CONSULTANTS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "TAKIEDDINE",
        "authorized_official_first_name": "MARWAN",
        "authorized_official_title_or_position": "MANAGING SHAREHOLDER",
        "authorized_official_telephone_number": "702-732-2438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NV",
            "license": "5398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.