Chin MD PLLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

CHIN MD PLLC

Practice address

1701 W Charleston Blvd Ste 200
Las Vegas, NV 89102-2312

Phone

(512) 846-3100

NPI assigned

Jan 23, 2025

Organization subpart

Yes

Parent organization

CHIN MD PLLCAs reported in NPPES

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

Authorized official

Name

Veronica Ibanez

Title

Credentialing

Phone

(432) 386-6429

Specialties & licenses 1

Addresses

Other names 2

• Excelsior Pain Management Doing business as
• Excelsior Pain Management PLLC Doing business as

Part of

Excelsior Pain Mgmnt PLLC

Locations

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1851103147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W 38TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W CHARLESTON BLVD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022312",
            "telephone_number": "512-846-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIN MD PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHIN MD PLLC",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "IBANEZ",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "432-386-6429"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excelsior Pain Management",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Excelsior Pain Management PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Chilin
• Michael Howard Chilson Jr.
• Latasha Chilton
• Shaquis Chilton
• Oby Chima
• Christopher Chin, OTD
• Diomar Erick Chin
• Gisela Chin, APRN
• Harvey Howe Chin, DDS
• Hubert Chin, MD

• Pain Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pain Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.