Active NPI
Jordan Massey Anderson, DC
- Chiropractor
- Las Vegas, NV
National Provider Identifier
1073955753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- B01509
- Practice address
- 2425 N Lamb Blvd
Ste 100
Las Vegas, NV 89115-5420 - Phone
- (702) 644-9155
- NPI assigned
- Jul 23, 2013
- Last updated
- Jan 31, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | B01509 | NV | Primary |
Addresses
Primary practice location
2425 N Lamb Blvd
Ste 100
Las Vegas, NV 89115-5420
Mailing address
PO Box 36853
Las Vegas, NV 89133-6853
Phone (702) 644-3333
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 |
|---|---|---|---|
| B01509 | NV | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Neck and Back Clinics, LLP | Chiropractor | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NW Neck and Back Clinic, NLV Neck and Back Clinic, SW Neck and Back Cl
- Chiropractor
- Las Vegas, NV
- NPI 1043411754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391126400000",
"number": "1073955753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36853",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891336853",
"telephone_number": "702-644-3333",
"fax_number": "702-644-3336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 N LAMB BLVD",
"address_2": "STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891155420",
"telephone_number": "702-644-9155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JORDAN",
"middle_name": "MASSEY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-23",
"last_updated": "2014-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NV",
"license": "B01509",
"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 Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.