Active NPI
Man Chau D.M.D. PC
- General Practice Dentistry
- Las Vegas, NV
National Provider Identifier
1023234101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4873
- Legal business name
- MAN CHAU D.M.D. PC
- Practice address
- 6430 W Lake Mead Blvd
#140
Las Vegas, NV 89108-7307 - Phone
- (702) 647-3377
- NPI assigned
- Apr 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Man Van Chau, D.M.D.
- Title
- Owner
- Phone
- (702) 979-8474
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4873 | NV | Primary |
Addresses
Primary practice location
6430 W Lake Mead Blvd
#140
Las Vegas, NV 89108-7307
Mailing address
4359 Milford Pond PL
Las Vegas, NV 89147-6103
Phone (702) 979-8474
Other names 1
- skyline dental
National Provider Directory
National Provider DirectoryLocations
6430 W Lake Mead Blvd
Ste 140
Las Vegas, NV 89108
Phone (702) 647-3377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220400000000",
"number": "1023234101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4359 MILFORD POND PL",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891476103",
"telephone_number": "702-979-8474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6430 W LAKE MEAD BLVD",
"address_2": "#140",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891087307",
"telephone_number": "702-647-3377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAN CHAU D.M.D. PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-18",
"last_updated": "2008-09-03",
"status": "A",
"authorized_official_last_name": "CHAU",
"authorized_official_first_name": "MAN",
"authorized_official_middle_name": "VAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-979-8474",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "4873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "skyline dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.