Organization Active NPI

Red Rock Podiatry Inc

  • Foot & Ankle Surgery Podiatrist
  • Las Vegas, NV
National Provider Identifier
1982994778
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0902 Issued in NV
Legal business name
RED ROCK PODIATRY INC
Practice address
653 N Town Center Dr Ste 80
Las Vegas, NV 89144-0503
Phone
(702) 233-7979
NPI assigned
Apr 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Authorized official

Name
Dr. Kristi Kaminsky, DPMNPI 1700823515
Title
Owner
Phone
(702) 233-7979

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 0902 NV Primary

Addresses

Primary practice location

653 N Town Center Dr Ste 80
Las Vegas, NV 89144-0503

Mailing address

4132 S Rainbow Blvd Ste 138
Las Vegas, NV 89103-3106
Phone (702) 233-7979

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110601000664 NV Part B Supplier - Clinic/Group Practice 0244417145 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

8530 W Sunset Rd
Ste 300
Las Vegas, NV 89113
Phone (702) 586-7469

657 N Town Center Dr
Ste 80
Las Vegas, NV 89144
Phone (702) 233-7979

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585267200000",
    "number": "1982994778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 S RAINBOW BLVD STE 138",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033106",
            "telephone_number": "702-233-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR STE 80",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440503",
            "telephone_number": "702-233-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED ROCK PODIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A",
        "authorized_official_last_name": "KAMINSKY",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-233-7979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NV",
            "license": "0902",
            "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 Mar 27, 2020; 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.