Organization Active NPI

Thomson K Chemplavil MD PC

  • Pulmonary Disease Physician
  • Henderson, NV
National Provider Identifier
1952598112
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
9370 Issued in NV
Legal business name
THOMSON 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
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Dr. Thomson K Chemplavil, M.D.NPI 1700960150
Title
Provider
Phone
(702) 735-4094

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 9370 NV Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X 93770 NV

Addresses

Primary practice location

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

Mailing address

8965 S Pecos Rd
Suite 11-a
Henderson, NV 89074-7158
Phone (702) 735-4094

Other identifiers 1

IdentifierTypeStateIssuer
V101409OtherNVMEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051007000861 NV Part B Supplier - Clinic/Group Practice 1557386604 Receives reassigned benefits from 2 practitioners
Practice locations: Henderson, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1952598112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8965 S PECOS RD",
            "address_2": "SUITE 11-A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747158",
            "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": "THOMSON K CHEMPLAVIL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "CHEMPLAVIL",
        "authorized_official_first_name": "THOMSON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "702-735-4094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NV",
            "license": "9370",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NV",
            "license": "93770",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "V101409",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.