PARDIS A. KELLY DPM INC.
Podiatrist

Address: 9940 W. Flamingo Road, Suite 101, Las Vegas, NV 89147

PARDIS A. KELLY DPM INC. (NPI# 1639760960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639760960
Entity Type Organization
Organization Name PARDIS A. KELLY DPM INC.
Practice Address 9940 W. Flamingo Road
Suite 101
Las Vegas
NV 89147
Practice Telephone 7026056220
Practice Fax Number 7026055880
Mailing Address 8550 W. Charleston Blvd.
Suite 102 Pmb396
Las Vegas
NV 89117
Mailing Telephone 6503035100
Mailing Fax Number 7026055880
Certification Date 2021-01-13
Enumeration Date 2021-01-29
Last Update Date 2021-01-29
Authorized Official Telephone 6503035100
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 213E00000X Podiatrist 193400000X MULTIPLE SINGLE SPECIALTY GROUP Podiatric Medicine & Surgery Service Providers

Other Provider/Organization Names

Other Name Type Code
Las Vegas Footcare Doing Business As Name

Provider Secondary Practice Locations

Address Telephone Number Fax Number
10220 Penrith Ave Unit 204, Las Vegas, NV 891446545 7026056220 7026055880

Office Location

Street Address 9940 W. FLAMINGO ROAD
SUITE 101
City LAS VEGAS
State NV
Zip Code 89147

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NPI Name Taxonomy Address Enumeration
1871197491 Aaron Kim Public Health or Welfare 4150 S Hualapai Way #4045, Las Vegas, NV 89147 2020-11-24
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1104474022 Jacklyn Siagatonu Behavior Technician 7125 Grand Montecito Parkway, Las Vegas Nv, N Las Vegas, NV 89147 2019-09-04
1700388253 Pr Acquisition Corporation · Select Physical Therapy Clinic/Center · Rehabilitation 9892 W Flamingo Road, Las Vegas, NV 89147 2018-03-01
1629578836 Jonathan Balagot Dizon Optometrist 4160 S Durango Dr, Las Vegas, NV 89147 2018-02-14
1346751526 Ignite Teen Treatment, LLC · Ignite Teen Treatment Clinic/Center · Adolescent and Children Mental Health 3722 Lone Mesa Dr, Las Vegas, NV 89147 2017-10-16
1306365275 Diversified Behavioral Health Services LLC Community/Behavioral Health 9636 W.cherokee Ave, Las Vegas, NV 89147 2017-09-12
1356874713 A8a Personal Care Solution LLC In Home Supportive Care 8879 West Flamingo, Ste 101, Las Vegas, NV 89147 2017-04-04
1154782191 Ma Leah Roble Maravillas Behavior Analyst 9999 W Katie Ave Suite 1313, Las Vegas, NV 89147 2016-03-18
1285010959 Samantha Lauren Pope Specialist 9353 W. Twain Ave, Apt 113, Las Vegas, NV 89147 2015-08-05
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Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346799640 Heller Podiatry LLC 9628 Gray Cap St, Las Vegas, NV 89123-5826 2016-09-27
1881077451 Desert Shores LLC · Desert Shores LLC 2235 N Rampart Blvd, Las Vegas, NV 89128-7640 2015-07-01
1770997405 Priya Samant · Priya Sajja 7135 W Sahara Ave Ste 201, Las Vegas, NV 89117 2014-06-20
1508152075 Hope C Markowitz 8021 Ryans Reef Ln, Las Vegas, NV 89128-6886 2011-06-23
1710129549 Mountain Podiatry 653 N Town Center Dr Ste 118, Las Vegas, NV 89144-0515 2009-03-25
1114182904 Ernest Louk 7601 Rockfield Dr, Las Vegas, NV 89128-7929 2008-07-22
1982883294 Sole To Soul Podiatry LLC 3815 S Jones Blvd Ste 6, Las Vegas, NV 89103 2007-11-02
1356481501 Anthony M. Ricciardi Jr. Ltd Inc. · Foot Ankle & Hand Center of Las Vegas 7135 W. Sahara Ave., Suite 201, Las Vegas, NV 89117-2828 2007-02-07
1801962121 Jason W Rockwood 105 Mills Ave Ste 100, Las Vegas, NM 87701-4169 2006-11-28
1275619603 Charles Cody Cull 1717 Navajo Lake Way, Las Vegas, NV 89128-3283 2006-10-27
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Competitor

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City LAS VEGAS
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.