Active NPI
Dillan Van Ness
- Chiropractor
- Henderson, NV
National Provider Identifier
1174345433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- B02046
- Practice address
- 670 S Green Valley Pkwy Ste 150
Henderson, NV 89052-0435 - Phone
- (702) 293-9100
- NPI assigned
- Oct 28, 2024
- Last updated
- Oct 28, 2024
- Sex
- Male
- 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 | B02046 | NV | Primary |
Addresses
Primary practice location
670 S Green Valley Pkwy Ste 150
Henderson, NV 89052-0435
Mailing address
8680 W Warm Springs Rd Ste 155
Las Vegas, NV 89148-1828
Phone (702) 702-5446
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B02046 | NV | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Align Chiropractic | Chiropractor | Past | Accepting new patients |
| Pahrump Pain Free LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Las Vegas, NV
- NPI 1245467927
-
- Chiropractor
- Pahrump, NV
- NPI 1568290856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1174345433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8680 W WARM SPRINGS RD STE 155",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891481828",
"telephone_number": "702-702-5446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 S GREEN VALLEY PKWY STE 150",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890520435",
"telephone_number": "702-293-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN NESS",
"first_name": "DILLAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-28",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NV",
"license": "B02046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.