Active NPI
Modern Care Chiropractic LLC
- Clinic/Center
- North Las Vegas, NV
National Provider Identifier
1104635275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- MODERN CARE CHIROPRACTIC LLC
- Practice address
- 3925 N. Martin Luther King Blvd.
Suite 120
North Las Vegas, NV 89032 - Phone
- (702) 900-2709
- NPI assigned
- Jan 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Krysta Huber, DC
- Title
- Chiropractor
- Phone
- (702) 900-2709
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
3925 N. Martin Luther King Blvd.
Suite 120
North Las Vegas, NV 89032
Mailing address
3925 N. Martin Luther King Blvd.
Ste 120
North Las Vegas, NV 89032
Phone (702) 900-2709
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3925 N Martin L King Blvd
Ste 120
North Las Vegas, NV 89032
Phone (702) 900-2709
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- North Las Vegas, NV
- NPI 1114636453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735862400000",
"number": "1104635275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3925 N. MARTIN LUTHER KING BLVD.",
"address_2": "STE 120",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "89032",
"telephone_number": "702-900-2709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3925 N. MARTIN LUTHER KING BLVD.",
"address_2": "SUITE 120",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "89032",
"telephone_number": "702-900-2709"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MODERN CARE CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-03",
"last_updated": "2025-01-03",
"certification_date": "2024-12-20",
"status": "A",
"authorized_official_last_name": "HUBER",
"authorized_official_first_name": "KRYSTA",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "702-900-2709",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.