Active NPI
Rita Bella Chuang, MD
- Family Medicine Physician
- Henderson, NV
National Provider Identifier
1497854962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9659
- Practice address
- 2629 W Horizon Ridge Pkwy Ste 140
Henderson, NV 89052-4831 - Phone
- (702) 818-3207
- Fax
- (702) 818-4759
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9659 | NV | Primary |
Addresses
Primary practice location
2629 W Horizon Ridge Pkwy Ste 140
Henderson, NV 89052-4831
Mailing address
2629 W Horizon Ridge Pkwy Ste 140
Henderson, NV 89052-4831
Phone (702) 818-3207
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2018639 | Medicaid | NV | |
| 36301 | Other | MEDICARE PTAN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63017 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307923200000",
"number": "1497854962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2629 W HORIZON RIDGE PKWY STE 140",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890524831",
"telephone_number": "702-818-3207",
"fax_number": "702-818-4759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2629 W HORIZON RIDGE PKWY STE 140",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890524831",
"telephone_number": "702-818-3207",
"fax_number": "702-818-4759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUANG",
"first_name": "RITA",
"middle_name": "BELLA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2011-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "9659",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2018639",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "36301",
"state": null
}
],
"endpoints": [],
"other_names": []
}
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 Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.