NPIMap

Organization Active NPI

Boulder Chiropractic Inc.

  • Chiropractor
  • Boulder City, NV
National Provider Identifier
1093905887
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B-780 Issued in NV
Legal business name
BOULDER CHIROPRACTIC INC.
Practice address
806 Buchanan Blvd # 109
Boulder City, NV 89005-2130
Phone
(702) 293-0041
Fax
(702) 293-2834
NPI assigned
Jul 27, 2007
Last updated
Nov 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Tad N Tenney, DCNPI 1598714024
Title
President
Phone
(702) 293-0041

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B-780 NV Primary

Addresses

Primary practice location

806 Buchanan Blvd # 109
Boulder City, NV 89005-2130

Mailing address

806 Buchanan Blvd # 109
Boulder City, NV 89005-2130
Phone (702) 293-0041

National Provider Directory

National Provider Directory

Locations

806 Buchanan Blvd
Ste 109
Boulder City, NV 89005
Phone (702) 293-0041

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1093905887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 BUCHANAN BLVD # 109",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052130",
            "telephone_number": "702-293-0041",
            "fax_number": "702-293-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 BUCHANAN BLVD # 109",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052130",
            "telephone_number": "702-293-0041",
            "fax_number": "702-293-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "TENNEY",
        "authorized_official_first_name": "TAD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-293-0041",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B-780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.