Active NPI
PA Der Cha
- Public Medicine Podiatrist
- Las Vegas, NV
National Provider Identifier
1609268697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Medicine Podiatrist
- License
- 123456
- Practice address
- 3850 Las Vegas Blvd S
Las Vegas, NV 89109-4324 - Phone
- (952) 222-2222
- NPI assigned
- Feb 27, 2015
- 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 |
|---|---|---|---|---|
| Public Medicine Podiatrist | 213EP0504X | 123456 | NV | Primary |
Addresses
Primary practice location
3850 Las Vegas Blvd S
Las Vegas, NV 89109-4324
Mailing address
3850 Las Vegas Blvd S
Las Vegas, NV 89109-4324
Phone (952) 222-2222
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 |
|---|---|---|---|
| 123456 | NV | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439164800000",
"number": "1609268697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3850 LAS VEGAS BLVD S",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891094324",
"telephone_number": "952-222-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 LAS VEGAS BLVD S",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891094324",
"telephone_number": "952-222-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHA",
"first_name": "PA DER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-27",
"last_updated": "2015-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "213EP0504X",
"taxonomy_group": "",
"desc": "Podiatrist, Public Medicine",
"state": "NV",
"license": "123456",
"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 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.