Active NPI
Nkdhc Rudnitsky PLLC
Doing business as Nkdhc, PLLC
- Nephrology Physician
- Las Vegas, NV
National Provider Identifier
1932580800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- NKDHC RUDNITSKY PLLC
- Doing business as
- Nkdhc, PLLC
- Practice address
- 6970 W Patrick LN Ste 140
Las Vegas, NV 89113-0270 - Phone
- (702) 588-7077
- Fax
- (702) 588-7079
- NPI assigned
- Jun 16, 2015
- 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
- Ms. Adonis Escobedo
- Title
- Credentialing Manager
- Phone
- (602) 351-3015
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | NV | Primary |
Addresses
Primary practice location
6970 W Patrick LN Ste 140
Las Vegas, NV 89113-0270
Mailing address
3003 N Central Ave Ste 400
Phoenix, AZ 85012-2929
Phone (602) 351-3015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265831432 | Medicaid | NV |
Other names 1
- NKDHC, PLLC
National Provider Directory
National Provider Directory- Tax ID family
- Nkdhc Rudnitsky PLLC
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
Locations
6970 W Patrick Ln
Ste 140
Las Vegas, NV 89113
Phone (702) 485-5500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1434412800000",
"number": "1932580800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 N CENTRAL AVE STE 400",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122929",
"telephone_number": "602-351-3015",
"fax_number": "602-224-3315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6970 W PATRICK LN STE 140",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891130270",
"telephone_number": "702-588-7077",
"fax_number": "702-588-7079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NKDHC RUDNITSKY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-16",
"last_updated": "2015-06-16",
"status": "A",
"authorized_official_last_name": "ESCOBEDO",
"authorized_official_first_name": "ADONIS",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "602-351-3015",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "NV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1265831432",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NKDHC, PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}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 Jun 16, 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.