Provider Demographics
NPI:1982780987
Name:K. ROJAS, CHARTERED
Entity type:Organization
Organization Name:K. ROJAS, CHARTERED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:B
Authorized Official - Last Name:ROJAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-870-2229
Mailing Address - Street 1:9120 W. POST ROAD
Mailing Address - Street 2:#200
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148
Mailing Address - Country:US
Mailing Address - Phone:702-870-2229
Mailing Address - Fax:702-870-0515
Practice Address - Street 1:9120 W. POST ROAD
Practice Address - Street 2:#200
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148
Practice Address - Country:US
Practice Address - Phone:702-870-2229
Practice Address - Fax:702-870-0515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVQ07005505044853174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV35474Medicare ID - Type UnspecifiedLAR
NVE82430Medicare UPIN
NVE69595Medicare UPIN
NVH34295Medicare UPIN
NV16WCHDW02Medicare ID - Type UnspecifiedKBR
NV16WCHDW01Medicare ID - Type UnspecifiedJAR