Organization Active NPI

Selwyn Kidney MD LTD

  • Specialist
  • Las Vegas, NV
National Provider Identifier
1932382314
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
6065 Issued in NV
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

Updated by the provider on Jan 21, 2015

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
002019001MedicaidNV

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.