Organization Active NPI

Naomi Chaney M D LTD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1073853156
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10571 Issued in NV
Legal business name
NAOMI CHANEY M D LTD
Practice address
5380 S Rainbow Blvd Ste 218
Las Vegas, NV 89118-1879
Phone
(702) 319-5900
Fax
(702) 319-5901
NPI assigned
Feb 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Naomi Chaney, M DNPI 1245310127
Title
Owner
Phone
(702) 319-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 10571 NV Primary

Addresses

Primary practice location

5380 S Rainbow Blvd Ste 218
Las Vegas, NV 89118-1879

Mailing address

5380 S Rainbow Blvd Ste 218
Las Vegas, NV 89118-1879
Phone (702) 319-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130227000559 NV Part B Supplier - Clinic/Group Practice 8123273992 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

5380 S Rainbow Blvd
Ste 218
Las Vegas, NV 89118
Phone (702) 319-5900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1073853156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 S RAINBOW BLVD STE 218",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181879",
            "telephone_number": "702-319-5900",
            "fax_number": "702-319-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 S RAINBOW BLVD STE 218",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181879",
            "telephone_number": "702-319-5900",
            "fax_number": "702-319-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAOMI CHANEY M D LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "CHANEY",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-319-5900",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "10571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.