NPIMap

Organization Active NPI

Advanced Spine & Rehabilitation, LLC

  • Chiropractor
  • Henderson, NV
National Provider Identifier
1083633051
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ADVANCED SPINE & REHABILITATION, LLC
Practice address
715 Mall Ring Cir
Suite 205
Henderson, NV 89014-6665
Phone
(702) 990-2225
Fax
(702) 990-7711
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Alexander S Janda, DC
Title
Partner
Phone
(702) 990-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

715 Mall Ring Cir
Suite 205
Henderson, NV 89014-6665

Mailing address

715 Mall Ring Cir
Suite 205
Henderson, NV 89014-6665
Phone (702) 990-2225

Other names 1

  • ADVANCED SPINE & REHABILITATION Doing business as

National Provider Directory

National Provider Directory

Locations

715 Mall Ring Cir
Ste 205
Henderson, NV 89014
Phone (702) 990-2225

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083633051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 MALL RING CIR",
            "address_2": "SUITE 205",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146665",
            "telephone_number": "702-990-2225",
            "fax_number": "702-990-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 MALL RING CIR",
            "address_2": "SUITE 205",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146665",
            "telephone_number": "702-990-2225",
            "fax_number": "702-990-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPINE & REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JANDA",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "702-990-2225",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED SPINE & REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.