Active NPI
Chard Denis Bubb, MD
- Endocrinology, Diabetes & Metabolism Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 12406
- Practice address
- 2880 N Tenaya Way Ste 320
Las Vegas, NV 89128-0642 - Phone
- (702) 862-8226
- Fax
- (702) 862-8227
- NPI assigned
- Aug 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 12406 | NV | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 12406 | NV | Primary |
Addresses
Primary practice location
2880 N Tenaya Way Ste 320
Las Vegas, NV 89128-0642
Mailing address
6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone (702) 216-3346
Other practice location 1
2285 E Flamingo Rd
Ste 105
Las Vegas, NV 89119-5100
Phone (702) 862-8226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902097215 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2650 N Tenaya Way
Suite 360
Las Vegas, NV 89128-1102
Phone (702) 240-0088
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12406 | NV | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Holdings Nevada Inc | Current | Accepting new patients | |
| Intermountain Medical Holdings Nevada Inc | Internal Medicine | Current | Accepting new patients |
| North Vista Hospital LLC | Past | Accepting new patients | |
| Tri City Medical Hospitalists LLC | Internal Medicine | Past | Accepting new patients |
| Healthcare Partners Medical Group (Coats) LTD. | Past | Accepting new patients | |
| Vuthoori & Patel LLC | Internal Medicine | Past | Accepting new patients |
Locations
595 W Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 566-5500
6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881
2880 N Tenaya Way
Ste 320
Las Vegas, NV 89128
Phone (702) 862-8226
4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554
2650 N Tenaya Way
Ste 360
Las Vegas, NV 89128
Phone (702) 240-0088
1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500
Interoperability endpoints
- chardbubb@hcpnv.allscriptsdirect.net
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Intermountain Health
- Internal Medicine Physician
- Henderson, NV
- NPI 1245997279
-
dba Intermountain Health Home Care
- Home Health Agency
- Las Vegas, NV
- NPI 1689882557
-
- Pediatrics Physician
- Las Vegas, NV
- NPI 1902883341
-
- Psychiatric Hospital Unit
- North Las Vegas, NV
- NPI 1619050549
-
- Internal Medicine Physician
- N Las Vegas, NV
- NPI 1275579385
-
dba Urgent Care Centers of Nevada
- Family Medicine Physician
- Las Vegas, NV
- NPI 1982872164
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1902097215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6355 S BUFFALO DR FL 3",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891132133",
"telephone_number": "702-216-3346",
"fax_number": "702-671-6883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2880 N TENAYA WAY STE 320",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280642",
"telephone_number": "702-862-8226",
"fax_number": "702-862-8227"
}
],
"practiceLocations": [
{
"address_1": "2285 E Flamingo Rd",
"address_2": "Ste 105",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891195100",
"country_code": "US",
"telephone_number": "702-862-8226",
"fax_number": "702-862-8227",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUBB",
"first_name": "CHARD",
"middle_name": "DENIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-05",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "12406",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NV",
"license": "12406",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1902097215",
"state": "NV"
}
],
"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 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.