Active NPI
Robert S. Chudnow, M.D.
- Family Medicine Physician
- Dayton, NV
National Provider Identifier
1104938448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9491
- Practice address
- 901 Medical Center Drive
Suite 102
Dayton, NV 89403-7460 - Phone
- (775) 445-7630
- Fax
- (775) 246-7337
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9491 | NV | Primary |
Addresses
Primary practice location
901 Medical Center Drive
Suite 102
Dayton, NV 89403-7460
Mailing address
PO Box 4540
Carson City, NV 89702-4540
Phone (775) 882-0430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9491 | NV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern NV Urgent Care LP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Dayton, NV
- NPI 1942498365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410998400000",
"number": "1104938448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4540",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897024540",
"telephone_number": "775-882-0430",
"fax_number": "775-852-6902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 MEDICAL CENTER DRIVE",
"address_2": "SUITE 102",
"city": "DAYTON",
"state": "NV",
"postal_code": "894037460",
"telephone_number": "775-445-7630",
"fax_number": "775-246-7337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUDNOW",
"first_name": "ROBERT",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2014-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "9491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.