Individual provider Active NPI

Marissa Belle Robinson, DC

  • Chiropractor
  • North Las Vegas, NV
National Provider Identifier
1043921463
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B01957 Issued in NV
Practice address
5960 Losee Rd Ste 124
North Las Vegas, NV 89081-6202
Phone
(702) 608-3362
Fax
(702) 920-0417
NPI assigned
Dec 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B01957 NV Primary

Addresses

Primary practice location

5960 Losee Rd Ste 124
North Las Vegas, NV 89081-6202

Mailing address

5892 Losee Rd Ste 132-334
North Las Vegas, NV 89081-6599

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.dursochiropractic.com Durso Chiropractic LLC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230103000543 NV Practitioner - Chiropractic 2567832868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dickinson Chiropractic of Nevada LLCGroup PAC ID 0749633816, 5 clinicians

Practice addresses (Care Compare)

5960 Losee Rd
Suite 124
North Las Vegas, NV 89081-6202
Phone (702) 608-3362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
B01957NVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dickinson Chiropractic of Nevada, LLC Chiropractor CurrentSince Dec 12, 2023 Accepting new patients

Locations

5960 Losee Rd
Ste 124
North Las Vegas, NV 89081
Phone (225) 281-0269

Networks

  • UT PPO
  • UT PPO D-SNP

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": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1043921463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5892 LOSEE RD STE 132-334",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890816599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5960 LOSEE RD STE 124",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890816202",
            "telephone_number": "702-608-3362",
            "fax_number": "702-920-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "MARISSA",
        "middle_name": "BELLE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.dursochiropractic.com",
            "affiliation": "Y",
            "endpointDescription": "Current office website.",
            "affiliationName": "Durso Chiropractic LLC",
            "address_1": "5960 Losee Rd Ste 124",
            "city": "North Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890816202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.