Individual provider Active NPI

Wendy Chiem, D.D.S

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1902965809
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4890 Issued in NV
Practice address
5840 W Craig Rd Ste 130
Las Vegas, NV 89130-2573
Phone
(702) 395-3047
Fax
(702) 395-3047
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 47356 CA
General Practice Dentistry 1223G0001X 4890 NV Primary

Addresses

Primary practice location

5840 W Craig Rd Ste 130
Las Vegas, NV 89130-2573

Mailing address

5840 W Craig Rd Ste 130
Las Vegas, NV 89130-2573
Phone (702) 395-3047

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
4890NVMDGeneral Practice Dentistry
47356CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wendy Chiem, LLC Dentist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1902965809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 W CRAIG RD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302573",
            "telephone_number": "702-395-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 W CRAIG RD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302573",
            "telephone_number": "702-395-3047",
            "fax_number": "702-395-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIEM",
        "first_name": "WENDY",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "47356",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4890",
            "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 Jun 24, 2013; 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.