Chandra S Mohanty, CP,BOCO,FAAOP

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

400 Shadow LN Ste 110
Las Vegas, NV 89106-4355

Phone

(702) 800-6520

Fax

(702) 800-6492

NPI assigned

Oct 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1801084843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 ELM AVE STE 202",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133244",
            "telephone_number": "562-432-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SHADOW LN STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064355",
            "telephone_number": "702-800-6520",
            "fax_number": "702-800-6492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHANTY",
        "first_name": "CHANDRA",
        "middle_name": "S",
        "credential": "CP,BOCO,FAAOP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-03",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mazin Basim Mohammed
• Sitina R Mohammed
• Sitey Abduwahab Mohamud
• Sumegha Mohanadasan, MD
• Rakshitha Mohankumar, PHD
• Sujata Mohanty, BOCO
• Natasha Moharter, M.A., CPC, LPCC, NCC
• William Mohaupt
• Yanti Mohhan
• Mohib Banda LLC

• Prosthetist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Prosthetist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.