NPIMap

Organization Active NPI

Desert Orthotics LLC

  • Durable Medical Equipment & Medical Supplies
  • Henderson, NV
National Provider Identifier
1992019616
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DESERT ORTHOTICS LLC
Practice address
600 Whitney Ranch Dr
Suite C13
Henderson, NV 89014-2611
Phone
(702) 435-7987
Fax
(702) 435-7616
NPI assigned
Aug 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Authorized official

Name
Dr. Kenneth Ervine Fatkin, DPM
Title
Owner
Phone
(702) 435-7987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

600 Whitney Ranch Dr
Suite C13
Henderson, NV 89014-2611

Mailing address

600 Whitney Ranch Dr
Suite C-13
Henderson, NV 89014-2611
Phone (702) 435-7987

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1992019616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WHITNEY RANCH DR",
            "address_2": "SUITE C-13",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142611",
            "telephone_number": "702-435-7987",
            "fax_number": "702-435-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WHITNEY RANCH DR",
            "address_2": "SUITE C13",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142611",
            "telephone_number": "702-435-7987",
            "fax_number": "702-435-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT ORTHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "FATKIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ERVINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-435-7987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; 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.