Las Vegas Integrative Dermatology PLLC
NPI 1558136960ActiveOrganization· Dermatology· Las Vegas, NV
Dermatology in Las Vegas, Nevada, registered in NPPES in November 2023. The authorized official on file is Kendall Egan, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1558136960 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 16, 2023 |
| Last updated in NPPES | Nov 16, 2023 |
| Certified by provider | Nov 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NV) |
|---|
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