Active NPI
David Light, D.C.
- Chiropractor
- Las Vegas, NV
National Provider Identifier
1154763548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- B01517
- Practice address
- 10040 W Cheyenne Ave Ste 130
Las Vegas, NV 89129-7720 - Phone
- (702) 820-5320
- Fax
- (702) 805-8380
- NPI assigned
- Jul 25, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | B01517 | NV | Primary |
Addresses
Primary practice location
10040 W Cheyenne Ave Ste 130
Las Vegas, NV 89129-7720
Mailing address
10040 W Cheyenne Ave Ste 130
Las Vegas, NV 89129-7720
Phone (702) 820-5320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10040 W Cheyenne Ave
Suite 130
Las Vegas, NV 89129-7720
Phone (702) 820-5320
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B01517 | NV | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Light Brothers, LLC | Chiropractor | Current | Accepting new patients |
Locations
10040 W Cheyenne Ave
Ste 130
Las Vegas, NV 89129
Phone (484) 941-1312
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Las Vegas, NV
- NPI 1861962052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612742400000",
"number": "1154763548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10040 W CHEYENNE AVE STE 130",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891297720",
"telephone_number": "702-820-5320",
"fax_number": "702-805-8380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10040 W CHEYENNE AVE STE 130",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891297720",
"telephone_number": "702-820-5320",
"fax_number": "702-805-8380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGHT",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-25",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NV",
"license": "B01517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.