NPIMap

Individual provider Active NPI

Monica M Chacon, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Henderson, NV
National Provider Identifier
1922112697
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
41298 Issued in AZ
Practice address
2380 W Horizon Ridge Pkwy
Henderson, NV 89052-5078
Phone
(702) 247-9994
Fax
(702) 651-9995
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 17972 NV
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 41298 AZ Primary

Addresses

Primary practice location

2380 W Horizon Ridge Pkwy
Henderson, NV 89052-5078

Mailing address

2430 W Horizon Ridge Pkwy
Henderson, NV 89052-2729
Phone (702) 247-9994

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http://neurocnv.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200625003056 NV Practitioner - Neurology 9739143504 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
41298AZMDNeurology with Special Qualifications in Child Neurology Physician
17972NVMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yu Neurology and Electrodiagnostic Center of Nevada LTD CurrentSince Mar 7, 2020 Accepting new patients
Vanderbilt University Medical Center Past Accepting new patients
Banner Pharmacy Services LLC Past Accepting new patients
Tucson Medical Center Past Accepting new patients
Cook Children'S Medical Center Past Accepting new patients
Carondelet Health Network Past Accepting new patients
Cook Children'S Physician Network Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

2380 W Horizon Ridge Pkwy
Henderson, NV 89052
Phone (702) 247-9994

2380 W Horizon Ridge Pkwy
Ste 120
Henderson, NV 89052

2430 W Horizon Ridge Pkwy
Henderson, NV 89052
Phone (702) 247-9994

Interoperability endpoints

  • Direct secure messaging: monica.chaconmd.p1@direct.neurocnv.nextgenshare.com

Organizations & group practices 8

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1922112697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 W HORIZON RIDGE PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522729",
            "telephone_number": "702-247-9994",
            "fax_number": "702-651-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 W HORIZON RIDGE PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525078",
            "telephone_number": "702-247-9994",
            "fax_number": "702-651-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACON",
        "first_name": "MONICA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NV",
            "license": "17972",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "AZ",
            "license": "41298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://neurocnv.com/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "2380 W Horizon Ridge Pkwy",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890525078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.