Shira Kristin Badger, D.C.
Individual provider Active NPI Chiropractor · Henderson, NV
NPI 1104056183 · NPPES record last updated Nov 25, 2014
Key facts
- NPI
- 1104056183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- B01312 (NV)
- Practice address
- 2390 W Horizon Ridge Pkwy
Suite 130
Henderson, NV 89052-5079 - Phone
- (702) 233-2225
- Fax
- (702) 233-3508
- NPI assigned
- Jul 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B01312 | NV | MD | Chiropractor |
Practice roles (1 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Badger Hornfeld Chiropractic LLC | Chiropractor | Past | Accepting new patients |
Networks
- UT PPO D-SNP
- UT PPO
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | B01312 | NV | Yes |
Addresses
Primary practice location
2390 W Horizon Ridge Pkwy
Suite 130
Henderson, NV 89052-5079
Mailing address
2390 W Horizon Ridge Pkwy
Suite 130
Henderson, NV 89052-5079
Phone (702) 233-2225
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.