Active NPI
Denisis Varona-Chala
- Day Training/Habilitation Specialist
- Las Vegas, NV
National Provider Identifier
1104394436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- Legal business name
- DENISIS VARONA-CHALA
- Practice address
- 4714 E Flamingo Rd
Las Vegas, NV 89121-4709 - Phone
- (702) 685-7770
- NPI assigned
- Nov 5, 2018
- 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
- Denisis Varona Chala
- Title
- Owner
- Phone
- (702) 296-2765
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | Primary | ||
| Religious Nonmedical Practitioner | 374K00000X | |||
| Homemaker | 376J00000X |
Addresses
Primary practice location
4714 E Flamingo Rd
Las Vegas, NV 89121-4709
Mailing address
4714 E Flamingo Rd
Las Vegas, NV 89121-4709
Phone (702) 685-7770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2003733.054-122 | Other | NV | BUSINESS LICENSE NUMBER |
Other names 1
- Simple Tax
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1541376000000",
"number": "1104394436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4714 E FLAMINGO RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891214709",
"telephone_number": "702-685-7770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4714 E FLAMINGO RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891214709",
"telephone_number": "702-685-7770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENISIS VARONA-CHALA",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-05",
"last_updated": "2018-11-05",
"status": "A",
"authorized_official_last_name": "VARONA CHALA",
"authorized_official_first_name": "DENISIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-296-2765"
},
"taxonomies": [
{
"code": "373H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": true
},
{
"code": "374K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Religious Nonmedical Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUSINESS LICENSE NUMBER",
"identifier": "2003733.054-122",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Simple Tax",
"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 Nov 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.