Active NPI
Peter Chiem, D.D.S
- Dentist
- Las Vegas, NV
National Provider Identifier
1285793182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4935
- Practice address
- 7910 S Rainbow Blvd
Suite 125
Las Vegas, NV 89139-6478 - Phone
- (702) 457-7858
- Fax
- (702) 457-7828
- NPI assigned
- Dec 6, 2006
- Last updated
- Sep 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4935 | NV | Primary |
| Dentist | 122300000X | 47461 | CA |
Addresses
Primary practice location
7910 S Rainbow Blvd
Suite 125
Las Vegas, NV 89139-6478
Mailing address
7910 S Rainbow Blvd
Ste 125
Las Vegas, NV 89139-6478
Phone (702) 457-7858
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47461 | CA | MD | Dentist |
| 4935 | NV | MD | Dentist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Las Vegas, NV
- NPI 1275714875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601337600000",
"number": "1285793182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7910 S RAINBOW BLVD",
"address_2": "STE 125",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891396478",
"telephone_number": "702-457-7858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7910 S RAINBOW BLVD",
"address_2": "SUITE 125",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891396478",
"telephone_number": "702-457-7858",
"fax_number": "702-457-7828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIEM",
"first_name": "PETER",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2020-09-29",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "4935",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "47461",
"primary": false
}
],
"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 Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.