NPIMap

Organization Active NPI

Roberto C Chuapoco MD a Professional Corporation

  • Physical Medicine & Rehabilitation Physician
  • Las Vegas, NV
National Provider Identifier
1114056462
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
11482 Issued in NV
Legal business name
ROBERTO C CHUAPOCO MD A PROFESSIONAL CORPORATION
Practice address
908 S Valley View Blvd
Las Vegas, NV 89107-4412
Phone
(702) 501-3500
Fax
(702) 988-7028
NPI assigned
Mar 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Roberto De Castro Chuapoco Jr., M.D.NPI 1891883922
Title
President
Phone
(702) 501-3500

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
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 11482 NV Primary

Addresses

Primary practice location

908 S Valley View Blvd
Las Vegas, NV 89107-4412

Mailing address

8608 Mirada del Sol Dr
Las Vegas, NV 89128-8206
Phone (702) 988-7028

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070430000034 NV Part B Supplier - Clinic/Group Practice 3375649940 Receives reassigned benefits from 9 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

2525 W Charleston Blvd
#100
Las Vegas, NV 89102
Phone (702) 501-3500

3213 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 570-6222

7500 W Lake Mead Blvd
#9171
Las Vegas, NV 89128

900 S Valley View Blvd
Ste 140
Las Vegas, NV 89107
Phone (702) 501-3500

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114056462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8608 MIRADA DEL SOL DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891288206",
            "telephone_number": "702-988-7028",
            "fax_number": "702-988-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 S VALLEY VIEW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891074412",
            "telephone_number": "702-501-3500",
            "fax_number": "702-988-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTO C CHUAPOCO MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHUAPOCO",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "DE CASTRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-501-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "11482",
            "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 Aug 22, 2020; 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.