Active NPI
Donna Renee Callaway, D.C.
- Chiropractor
- Las Vegas, NV
National Provider Identifier
1164650552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- B01340
- Practice address
- 9330 W Flamingo Rd Ste 112a
Las Vegas, NV 89147-6447 - Phone
- (702) 932-6100
- Fax
- (702) 932-6102
- NPI assigned
- Jun 24, 2009
- Sex
- Female
- Sole proprietor
- No
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 | B01340 | NV | Primary |
Addresses
Primary practice location
9330 W Flamingo Rd Ste 112a
Las Vegas, NV 89147-6447
Mailing address
9330 W Flamingo Rd Ste 112a
Las Vegas, NV 89147-6447
Phone (702) 932-6100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720415656 | Other | NV | SERENITY SPINAL CARE, LLC NPI |
| V107102 | Other | NV | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James Lefever, DC, LTD | Chiropractor | Past | Accepting new patients |
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 1790071579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396224000000",
"number": "1164650552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9330 W FLAMINGO RD STE 112A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891476447",
"telephone_number": "702-932-6100",
"fax_number": "702-932-6102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9330 W FLAMINGO RD STE 112A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891476447",
"telephone_number": "702-932-6100",
"fax_number": "702-932-6102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAWAY",
"first_name": "DONNA",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-24",
"last_updated": "2014-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NV",
"license": "B01340",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SERENITY SPINAL CARE, LLC NPI",
"identifier": "1720415656",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "V107102",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
- Alexandra Louisse Panganiban Callanta, FNP-C
- Rafael Espique Callanta, NURSE PRACTITIONER
- Callaway-Nelson Centennial Modern Dentistry, PC
- Callaway-Nelson Flamingo Smiles, PC
- Cari Allison Callaway-Nelson, DDS
- Randall Callaway, M.S., MFT
- Karim R Calle, LCSW
- Emma Delia Calleja Nunez
- Milanie Calleja
- Leslie Callejas, DIETITIAN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.