Canyon Chiropractic Clinic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

B537 Issued in NV

Legal business name

CANYON CHIROPRACTIC CLINIC, INC

Practice address

2005 Sierra Highlands Dr
Suite 147
Reno, NV 89523-2303

Phone

(775) 787-2225

Fax

(775) 787-2282

NPI assigned

Mar 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Bradley King Mahler, DC

Title

President

Phone

(775) 787-2225

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc Corrao, D.C.

  • Chiropractor
  • Reno, NV
  • NPI 1922123504
  NPD (past)
• David G Rovetti, DC

  • Occupational Health Chiropractor
  • Reno, NV
  • NPI 1932104684
  NPD (past)

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1154591956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34855",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895334855",
            "telephone_number": "775-787-2225",
            "fax_number": "775-787-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 SIERRA HIGHLANDS DR",
            "address_2": "SUITE 147",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895232303",
            "telephone_number": "775-787-2225",
            "fax_number": "775-787-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON CHIROPRACTIC CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "MAHLER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "KING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-787-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elvonda Jean Cantrell
• Jeanine Cantrell
• Kari Cantrell, PHARM.D.
• Lisa Anne Cantrell, RN
• Patricia Cantu Ruiz
• Benjamin Cao, PHARMD
• Sansan Cao, M.D.
• Jenny Capel, PT
• Stephen Andrew Capel, PT
• Regina Capko

• Chiropractor in Reno, NV
• Providers in Reno, NV by specialty
• Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.