Active NPI
Chaudhery Pediatrics
- Pediatrics Physician
- Las Vegas, NV
National Provider Identifier
1104023340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- CHAUDHERY PEDIATRICS
- Practice address
- 2901 N Tenaya Way
Suite 210
Las Vegas, NV 89128-1404 - Phone
- (702) 255-0500
- Fax
- (702) 821-1704
- NPI assigned
- Jun 29, 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
- Ismat G Chaudhery, MD
- Title
- Owner
- Phone
- (702) 255-0500
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
2901 N Tenaya Way
Suite 210
Las Vegas, NV 89128-1404
Mailing address
PO Box 34265
Las Vegas, NV 89133-4265
Phone (702) 255-0500
Other names 1
- Mountain View Pediatrics
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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": "1183075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184284800000",
"number": "1104023340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34265",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891334265",
"telephone_number": "702-255-0500",
"fax_number": "702-821-1704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 N TENAYA WAY",
"address_2": "SUITE 210",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891281404",
"telephone_number": "702-255-0500",
"fax_number": "702-821-1704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHAUDHERY PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-29",
"last_updated": "2007-07-13",
"status": "A",
"authorized_official_last_name": "CHAUDHERY",
"authorized_official_first_name": "ISMAT",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-255-0500",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mountain View Pediatrics",
"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 Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.