Individual provider Active NPI

Marlvin Show Chidziva, DC

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1164173191
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B01829 Issued in NV
Practice address
8960 W Tropicana Ave Ste 500
Las Vegas, NV 89147-8139
Phone
(702) 979-6264
Fax
(702) 979-6264
NPI assigned
Jan 11, 2022
Last updated
Jan 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B01829 NV Primary

Addresses

Primary practice location

8960 W Tropicana Ave Ste 500
Las Vegas, NV 89147-8139

Mailing address

8960 W Tropicana Ave Ste 500
Las Vegas, NV 89147-8139
Phone (702) 979-6264

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220121001608 NV Practitioner - Chiropractic 9739571894 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Zenith Recovery LLC CurrentSince Jun 9, 2025 Accepting new patients

Locations

2915 W Charleston Blvd
Ste 120
Las Vegas, NV 89102
Phone (702) 840-1222

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, 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": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1164173191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8960 W TROPICANA AVE STE 500",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478139",
            "telephone_number": "702-979-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8960 W TROPICANA AVE STE 500",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478139",
            "telephone_number": "702-979-6264",
            "fax_number": "702-979-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIDZIVA",
        "first_name": "MARLVIN",
        "middle_name": "SHOW",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01829",
            "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 Jan 11, 2022; 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.