Childrens Lung Specialists

Primary specialty

Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X

License

9572 Issued in NV

Legal business name

CHILDRENS LUNG SPECIALISTS

Doing business as

childrens Lung Specialists

Practice address

3196 S Maryland Pkwy Ste 209
Las Vegas, NV 89109-2313

Phone

(702) 598-4411

Fax

(702) 598-1988

NPI assigned

May 8, 2006

Last updated

Mar 30, 2023By 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

Mr. Craig T Nakamura, MDNPI 1295721918

Title

Physician Owner

Phone

(702) 598-4411

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• childrens Lung Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 5

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.

• Craig Tadashi Nakamura, MD

  • Pediatric Pulmonology Physician
  • Las Vegas, NV
  • NPI 1295721918
  Medicare reassignment Care Compare group NPD Authorized official
• Jessica Lynn Enders, RD/LD

  • Registered Dietitian
  • Henderson, NV
  • NPI 1427280874
  Medicare reassignment Care Compare group NPD
• Angelica Elizabeth Honsberg, MD

  • Pulmonary Disease Physician
  • Las Vegas, NV
  • NPI 1508899253
  Medicare reassignment Care Compare group NPD
• Jennifer Montes, DPT

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1336854595
  Medicare reassignment Care Compare group NPD
• Adam Cisek, RD, LD

  • Registered Dietitian
  • Las Vegas, NV
  • NPI 1669928040
  Medicare reassignment NPD

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1518916451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3196 S MARYLAND PKWY STE 209",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092313",
            "telephone_number": "702-598-4411",
            "fax_number": "702-598-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3196 S MARYLAND PKWY STE 209",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092313",
            "telephone_number": "702-598-4411",
            "fax_number": "702-598-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS LUNG SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "NAKAMURA",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "702-598-4411",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "NV",
            "license": "9572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0020-18611",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018313",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100511761",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "childrens Lung Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "childrens Lung Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Children's Health Network, Inc.
• Children's Heart Foundation Nevada
• Children's Orthotics and Prosthetics LLC
• Children's Shoe World (Cesar's Shoe World)
• Children's Shoe World (Cesar's Shoe World)
• Childrens Nephrology Clinic, LLC
• Childrens Specialists of Las Vegas (Vegas Kids Dental)
• Childrens Urology Associates, LLC
• Childress Value Care, PLLC
• Ann Childress

• Pediatric Pulmonology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pediatric Pulmonology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.