Healthcare Provider Details

I. General information

NPI: 1306762794
Provider Name (Legal Business Name): LIMBPLASTY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8180 RAFAEL RIVERA WAY STE 100
LAS VEGAS NV
89113-5429
US

IV. Provider business mailing address

8180 RAFAEL RIVERA WAY STE 100
LAS VEGAS NV
89113-5429
US

V. Phone/Fax

Practice location:
  • Phone: 702-438-8255
  • Fax:
Mailing address:
  • Phone: 702-438-8255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KEVIN DEBIPARSHAD
Title or Position: OWNER
Credential: MD
Phone: 561-693-8792