Cyriac K Chemplavil MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

4180 Issued in NV

Legal business name

CYRIAC K CHEMPLAVIL MD PC

Practice address

8965 S Pecos Rd Ste 11a
Henderson, NV 89074-7159

Phone

(702) 735-4094

Fax

(702) 735-1994

NPI assigned

Nov 13, 2006

Last updated

Sep 20, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tracy Talbott

Title

Medical Biller

Phone

(702) 735-4094

Specialties & licenses 1

Addresses

Other names 1

• CK CHEMPLAVIL MD PC Other name

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cyriac K Chemplavil, MD

  • Specialist
  • Henderson, NV
  • NPI 1689853947
  Medicare reassignment
• Thomson Kurian Chemplavil, MD

  • Pulmonary Disease Physician
  • Henderson, NV
  • NPI 1700960150
  NPD

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1942371422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8965 S PECOS RD STE 11A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747159",
            "telephone_number": "702-735-4094",
            "fax_number": "702-735-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8965 S PECOS RD STE 11A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747159",
            "telephone_number": "702-735-4094",
            "fax_number": "702-735-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYRIAC K CHEMPLAVIL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "TALBOTT",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "702-735-4094",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "4180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CK CHEMPLAVIL MD PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Specialist in Henderson, NV
• Providers in Henderson, NV by specialty
• Specialist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.