Active NPI
Allen I-Han Su, D.C., M.A.O.M.
- Chiropractor
- Las Vegas, NV
National Provider Identifier
1003842238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- B02011
- Practice address
- 5288 Spring Mountain Rd
Suite 200
Las Vegas, NV 89146-8723 - Phone
- (702) 826-2298
- Fax
- (702) 826-2877
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | B02011 | NV | Primary |
| Chiropractor | 111N00000X | DC 29177 | CA |
Addresses
Primary practice location
5288 Spring Mountain Rd
Suite 200
Las Vegas, NV 89146-8723
Mailing address
5288 Spring Mountain Rd
Suite 200
Las Vegas, NV 89146-8723
Phone (702) 826-2298
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC 29177 | CA | MD | Chiropractor |
| B02011 | NV | MD | Chiropractor |
Networks
- UT PPO D-SNP
- UT PPO
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424908800000",
"number": "1003842238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5288 SPRING MOUNTAIN RD",
"address_2": "SUITE 200",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891468723",
"telephone_number": "702-826-2298",
"fax_number": "702-826-2877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5288 SPRING MOUNTAIN RD",
"address_2": "SUITE 200",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891468723",
"telephone_number": "702-826-2298",
"fax_number": "702-826-2877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SU",
"first_name": "ALLEN",
"middle_name": "I-HAN",
"credential": "D.C., M.A.O.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2015-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NV",
"license": "B02011",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 29177",
"primary": false
}
],
"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 Feb 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.