Chinany Care Corporation

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN001829 Issued in NV

Legal business name

CHINANY CARE CORPORATION

Practice address

3110 S Durango Dr Ste 200
Las Vegas, NV 89117

Phone

(702) 415-9760

Fax

(702) 478-6211

NPI assigned

Feb 6, 2016

Last updated

Sep 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chinomso D Ezenwata, APRNNPI 1851785828

Title

President / Provider

Phone

(702) 415-9760

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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.

• Chinomso D Ezenwata, NP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1851785828
  Authorized official Same address or phone

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

{
    "created_epoch": "1454716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630713600000",
    "number": "1164880001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30771",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891730771",
            "telephone_number": "702-415-9760",
            "fax_number": "702-478-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 S DURANGO DR STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89117",
            "telephone_number": "702-415-9760",
            "fax_number": "702-478-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINANY CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-06",
        "last_updated": "2021-09-04",
        "certification_date": "2021-09-04",
        "status": "A",
        "authorized_official_last_name": "EZENWATA",
        "authorized_official_first_name": "CHINOMSO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT / PROVIDER",
        "authorized_official_telephone_number": "702-415-9760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN001829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "V112538",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851785828",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jackie Ka Yin Chin, DDS
• Jason Chin, DC
• Michael Scott Chin
• Quee Fah Chin, MD
• Robert Chin, DMD
• Amber Chinchilla
• Dayan Chinea Alvarez
• Gleydis Chinea Gonzalez
• Nikki Chinen
• Ching Kuo Tony Lee DMD. LTD

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2021; 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.