Individual provider Active NPI

James Chester Ceredon

  • Certified Respiratory Therapist
  • Las Vegas, NV
National Provider Identifier
1861214959
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Respiratory TherapistTaxonomy code 227800000X
License
RC4080 Issued in NV
Practice address
7730 W Cheyenne Ave Ste 105
Las Vegas, NV 89129-8411
Phone
(702) 869-4401
NPI assigned
Oct 29, 2024
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Respiratory Therapist 227800000X RC4080 NV Primary

Addresses

Primary practice location

7730 W Cheyenne Ave Ste 105
Las Vegas, NV 89129-8411

Mailing address

7730 W Cheyenne Ave
Ste 105
Las Vegas, NV 89129

Other practice location 1

2298 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-2697
Phone (702) 869-4401

Other practice location 2

5155 S Durango Dr Ste 101
Las Vegas, NV 89113-0174
Phone (702) 869-4401

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

LicenseStateTypeSpecialty
RC4080NVMDCertified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Mountain Rehab, LLC CurrentSince Nov 3, 2024 Accepting new patients

Locations

2298 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 869-4401

7730 W Cheyenne Ave
Ste 105
Las Vegas, NV 89129
Phone (702) 463-5556

5155 S Durango Dr
Ste 101
Las Vegas, NV 89113
Phone (702) 478-2424

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1861214959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7730 W CHEYENNE AVE",
            "address_2": "STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 W CHEYENNE AVE STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298411",
            "telephone_number": "702-869-4401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2298 W Horizon Ridge Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890522697",
            "country_code": "US",
            "telephone_number": "702-869-4401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5155 S Durango Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891130174",
            "country_code": "US",
            "telephone_number": "702-869-4401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CEREDON",
        "first_name": "JAMES CHESTER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "NV",
            "license": "RC4080",
            "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 Oct 29, 2024; 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.