Individual provider Active NPI

Richard Hoani Kanani Poulsen, DC

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1003458639
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B01795 Issued in NV
Practice address
8678 Spring Mountain Rd Ste 130
Las Vegas, NV 89117-4104
Phone
(702) 384-0000
NPI assigned
Oct 15, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B01795 NV Primary

Addresses

Primary practice location

8678 Spring Mountain Rd Ste 130
Las Vegas, NV 89117-4104

Mailing address

8678 Spring Mountain Rd Ste 130
Las Vegas, NV 89117-4104
Phone (702) 384-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
B01795NVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ireland Clinic of Chiropractic LLC Chiropractor CurrentSince Apr 17, 2022 Accepting new patients

Locations

8678 Spring Mountain Rd
Ste 130
Las Vegas, NV 89117
Phone (702) 384-0000

Organizations & group practices 1

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": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1003458639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8678 SPRING MOUNTAIN RD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174104",
            "telephone_number": "702-384-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8678 SPRING MOUNTAIN RD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174104",
            "telephone_number": "702-384-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULSEN",
        "first_name": "RICHARD",
        "middle_name": "HOANI KANANI",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.