Robert Chancellor MD PLLC

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

Legal business name

ROBERT CHANCELLOR MD PLLC

Practice address

5052 S Jones Blvd Ste 145
Las Vegas, NV 89118-0556

Phone

(702) 367-0808

NPI assigned

Apr 5, 2019

Organization subpart

No

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

Authorized official

Name

Robert Chancellor, MD

Title

MD

Phone

(702) 487-7055

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1154883379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530815",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890530815",
            "telephone_number": "702-487-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5052 S JONES BLVD STE 145",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891180556",
            "telephone_number": "702-367-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT CHANCELLOR MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "CHANCELLOR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "702-487-7055",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.