Individual provider Active NPI

Joseph Alan Vondra, D.C.

  • Chiropractor
  • Sparks, NV
National Provider Identifier
1114047990
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B-863 Issued in NV
Practice address
905 E Prater Way
Sparks, NV 89431-4693
Phone
(775) 358-9464
Fax
(775) 358-9464
NPI assigned
Mar 29, 2007
Last updated
Oct 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B-863 NV Primary

Addresses

Primary practice location

905 E Prater Way
Sparks, NV 89431-4693

Mailing address

4994 Vista Blvd
Sparks, NV 89436-2859
Phone (775) 470-5224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070731000564 NV Practitioner - Chiropractic 7911008263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4994 Vista Blvd
Sparks, NV 89436-2859
Phone (775) 470-5224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
B-863NVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence R. Davis Chiropractor PastSince Jan 18, 2017 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1114047990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4994 VISTA BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894362859",
            "telephone_number": "775-470-5224",
            "fax_number": "775-470-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 E PRATER WAY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894314693",
            "telephone_number": "775-358-9464",
            "fax_number": "775-358-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONDRA",
        "first_name": "JOSEPH",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B-863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.