Active NPI
Selwyn Kidney MD LTD
- Specialist
- Las Vegas, NV
National Provider Identifier
1932382314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 6065
- Legal business name
- SELWYN KIDNEY MD LTD
- Practice address
- 3153 E Warm Springs
300
Las Vegas, NV 89120-3143 - Phone
- (702) 487-6510
- Fax
- (702) 405-7960
- NPI assigned
- Dec 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Selwyn Kidney, MD
- Title
- Ceo
- Phone
- (702) 487-6510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 6065 | NV | Primary |
Addresses
Primary practice location
3153 E Warm Springs
300
Las Vegas, NV 89120-3143
Mailing address
PO Box 93358
Las Vegas, NV 89193-3358
Phone (702) 487-6510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002019001 | Medicaid | NV |
National Provider Directory
National Provider DirectoryLocations
3087 E Warm Springs Rd
Ste 400
Las Vegas, NV 89120
Phone (702) 985-3216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421798400000",
"number": "1932382314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 93358",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891933358",
"telephone_number": "702-487-6510",
"fax_number": "702-405-7960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3153 E WARM SPRINGS",
"address_2": "300",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891203143",
"telephone_number": "702-487-6510",
"fax_number": "702-405-7960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELWYN KIDNEY MD LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-09",
"last_updated": "2015-01-21",
"status": "A",
"authorized_official_last_name": "KIDNEY",
"authorized_official_first_name": "SELWYN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "702-487-6510",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NV",
"license": "6065",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002019001",
"state": "NV"
}
],
"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 Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.