Healthcare Provider Details

I. General information

NPI: 1174814644
Provider Name (Legal Business Name): DAVID CHIAPAIKEO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2011
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8930 W SUNSET RD STE 300
LAS VEGAS NV
89148-5013
US

IV. Provider business mailing address

8930 W SUNSET RD STE 300
LAS VEGAS NV
89148-5013
US

V. Phone/Fax

Practice location:
  • Phone: 702-258-7788
  • Fax: 702-258-7788
Mailing address:
  • Phone: 702-258-7788
  • Fax: 702-258-7787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number29281
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number036.166775
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number01087108A
License Number StateIN
# 4
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number01087108A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: