Organization Active NPI

R. Tate Chauncey DMD MSD, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Henderson, NV
National Provider Identifier
1255105508
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
R. TATE CHAUNCEY DMD MSD, PLLC
Practice address
1465 E Lake Mead Pkwy Ste 140
Henderson, NV 89015-4631
Phone
(702) 306-1830
NPI assigned
Nov 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Authorized official

Name
Robert Tate Chauncey, DMD MSDNPI 1194391995
Title
Owner
Phone
(702) 306-1830

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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X Primary

Addresses

Primary practice location

1465 E Lake Mead Pkwy Ste 140
Henderson, NV 89015-4631

Mailing address

172 Brighton Hills Ave
Henderson, NV 89002-0527
Phone (702) 306-1830

Other names 1

  • Chauncey Orthodontics Other name

National Provider Directory

National Provider Directory

Locations

1465 E Lake Mead Pkwy
Ste 140
Henderson, NV 89015
Phone (702) 306-1830

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1255105508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 BRIGHTON HILLS AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890020527",
            "telephone_number": "702-306-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 E LAKE MEAD PKWY STE 140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890154631",
            "telephone_number": "702-306-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. TATE CHAUNCEY DMD MSD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "CHAUNCEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "TATE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-306-1830",
        "authorized_official_credential": "DMD MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chauncey Orthodontics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.