Individual provider Active NPI

Chadwick Nierva

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1225880883
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
LL4692 Issued in NV
Practice address
6655 S Cimarron Rd Ste 100
Las Vegas, NV 89113-2181
Phone
(702) 853-3561
NPI assigned
Apr 4, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LL4692 NV Primary

Addresses

Primary practice location

6655 S Cimarron Rd Ste 100
Las Vegas, NV 89113-2181

Mailing address

6655 S Cimarron Rd Ste 100
Las Vegas, NV 89113-2181
Phone (702) 853-3564

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1225880883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 S CIMARRON RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132181",
            "telephone_number": "702-853-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 S CIMARRON RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132181",
            "telephone_number": "702-853-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIERVA",
        "first_name": "CHADWICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-04",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "LL4692",
            "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 28, 2026; 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.