Organization Active NPI

Kevin P. Debiparshad PLLC

Doing business as Synergy Spine & Orthopedics

  • Orthopaedic Surgery of the Spine Physician
  • Las Vegas, NV
National Provider Identifier
1942718101
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
KEVIN P. DEBIPARSHAD PLLC
Doing business as
Synergy Spine & Orthopedics
Practice address
8180 Rafael Rivera Way Ste 100
Las Vegas, NV 89113-5429
Phone
(702) 678-4658
Fax
(844) 254-1850
NPI assigned
Jan 22, 2018
Last updated
May 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Authorized official

Name
Kevin Debiparshad, MDNPI 1710314968
Title
President
Phone
(702) 678-4658

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X Primary
Physical Therapist 225100000X

Addresses

Primary practice location

8180 Rafael Rivera Way Ste 100
Las Vegas, NV 89113-5429

Mailing address

8180 Rafael Rivera Way Ste 100
Las Vegas, NV 89113-5429
Phone (702) 678-4658

Other identifiers 1

IdentifierTypeStateIssuer
100556007MedicaidNV

Other names 1

  • Synergy Spine & Orthopedics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180307001328 NV Part B Supplier - Clinic/Group Practice 1254692270 Receives reassigned benefits from 6 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

2779 W Horizon Ridge Pkwy
Ste 20
Henderson, NV 89052

8180 Rafael Rivera Way
Las Vegas, NV 89113
Phone (702) 485-3640

Practitioners & affiliated clinicians

Practitioners 6

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": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1942718101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 RAFAEL RIVERA WAY STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891135429",
            "telephone_number": "702-678-4658",
            "fax_number": "844-254-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 RAFAEL RIVERA WAY STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891135429",
            "telephone_number": "702-678-4658",
            "fax_number": "844-254-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN P. DEBIPARSHAD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "DEBIPARSHAD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-678-4658",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100556007",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy Spine & Orthopedics",
            "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 May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.