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LAS VEGAS KIDNEY CLINIC INC.
NPI 1245234145
Clinic/Center - Medical Specialty in North Las Vegas, NV

Active since June 08, 2005
1905 CIVIC CENTER DR, STE 201, NORTH LAS VEGAS, NV 89030(702) 214-9516(702) 214-9415 Get Directions Write a Review

NPPES record last updated: June 6, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Las Vegas Kidney Clinic Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAS VEGAS KIDNEY CLINIC INC. (NPI 1245234145) is a healthcare organization registered as a medical specialty in North Las Vegas, Nevada and active in the NPI registry since June 2005. The organization lists Galen Robert Bennett, Administrator, as its authorized official.

NPPES Registry Identity

NPI1245234145
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameLAS VEGAS KIDNEY CLINIC INC.
Location Address1905 CIVIC CENTER DR, STE 201North Las Vegas, NV 89030-7116
Mailing Address1905 Civic Center Dr, Ste 201North Las Vegas, NV 89030-7116 · (702) 214-9516 · Fax (702) 214-9415
Phone(702) 214-9516
Fax(702) 214-9415
Organization SubpartNo
Authorized OfficialGalen Robert BennettAdministrator · (702) 214-9516
Enumeration DateJune 8, 2005
Last NPPES UpdateJune 6, 2008
✔ NPI 1245234145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in NV · 3221ESR3
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1905 CIVIC CENTER DR, North Las Vegas, NV 89030
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Other Identifiers 2

Medicare OSCAR/certification292519NV
Medicaid100501915NV

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANDRA LIPOVACA M.D.
Pediatrics
1905 CIVIC CENTER DR
NORTH LAS VEGAS, NV 89030
Clark County (702) 877-9514
BIO-MEDICAL APPLICATIONS OF NEVADA, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1905 CIVIC CENTER DR, SUITE 201
NORTH LAS VEGAS, NV 89030
Clark County (702) 214-9516
GUADALUPE R DOMINGUEZ PAC
Physician Assistant
1905 CIVIC CENTER DR
NORTH LAS VEGAS, NV 89030
Clark County (702) 877-9514
CANO HEALTH NEVADA PLLC
General Practice
1905 CIVIC CENTER DR
NORTH LAS VEGAS, NV 89030
Clark County (855) 226-6633
CENTERWELL SENIOR PRIMARY CARE (NV) PC
Internal Medicine
1905 CIVIC CENTER DR
NORTH LAS VEGAS, NV 89030
Clark County (702) 475-8874

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Las Vegas Kidney Clinic Inc.'s NPI number?

The NPI number for Las Vegas Kidney Clinic Inc. is 1245234145. It was assigned to this organization in the NPPES registry on June 8, 2005.

Where is Las Vegas Kidney Clinic Inc. located?

Las Vegas Kidney Clinic Inc. is located at 1905 Civic Center Dr Ste 201, North Las Vegas, NV 89030. The listed phone number is (702) 214-9516.

What is Las Vegas Kidney Clinic Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Las Vegas Kidney Clinic Inc. was last updated on June 6, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.