Organization Active NPI

Active Chiropractic Wellness Center

  • Chiropractor
  • Carson City, NV
National Provider Identifier
1124195805
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ACTIVE CHIROPRACTIC WELLNESS CENTER
Practice address
120 E John St
Carson City, NV 89706-3036
Phone
(775) 885-7555
Fax
(775) 882-6666
NPI assigned
Nov 29, 2006
Last updated
Apr 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Dr. Vinson R Christenson, D.C.NPI 1477569796
Title
Chiropractor
Phone
(775) 885-7555

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)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

120 E John St
Carson City, NV 89706-3036

Mailing address

120 E John St
Carson City, NV 89706-3036
Phone (775) 885-7555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120703000620 NV Part B Supplier - Clinic/Group Practice 0941199301 Receives reassigned benefits from 1 practitioner
Practice locations: Carson City, NV

National Provider Directory

National Provider Directory

Locations

120 E John St
Carson City, NV 89706
Phone (775) 884-9355

Practitioners & affiliated clinicians

Practitioners 2

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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1124195805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E JOHN ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897063036",
            "telephone_number": "775-885-7555",
            "fax_number": "775-882-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E JOHN ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897063036",
            "telephone_number": "775-885-7555",
            "fax_number": "775-882-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE CHIROPRACTIC WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSON",
        "authorized_official_first_name": "VINSON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "775-885-7555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.

Verify at the official NPI Registry.