NPIMap

Organization Active NPI

The Spine, Disc & Nerve Doctor, Inc.

Doing business as The Spine Disc & Nerve Doctor

  • Rehabilitation Chiropractor
  • North Las Vegas, NV
National Provider Identifier
1194226829
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
B01660 Issued in NV
Legal business name
THE SPINE, DISC & NERVE DOCTOR, INC.
Doing business as
The Spine Disc & Nerve Doctor
Practice address
3940 N MLK Blvd Ste 107
North Las Vegas, NV 89032-6607
Phone
(702) 448-4566
Fax
(725) 605-3464
NPI assigned
Feb 27, 2018
Last updated
Feb 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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

Authorized official

Name
Dr. Patrick R.E. Davis, DCNPI 1316067846
Title
President, Owner & Operator
Phone
(702) 448-4566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X B01660 NV Primary

Addresses

Primary practice location

3940 N MLK Blvd Ste 107
North Las Vegas, NV 89032-6607

Mailing address

PO Box 336543
North Las Vegas, NV 89033-6543
Phone (702) 448-4566

Other names 1

  • The Spine Disc & Nerve Doctor Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519689600000",
    "number": "1194226829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336543",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890336543",
            "telephone_number": "702-448-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 N MLK BLVD STE 107",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890326607",
            "telephone_number": "702-448-4566",
            "fax_number": "725-605-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPINE, DISC & NERVE DOCTOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "R.E.",
        "authorized_official_title_or_position": "PRESIDENT, OWNER & OPERATOR",
        "authorized_official_telephone_number": "702-448-4566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NV",
            "license": "B01660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Spine Disc & Nerve Doctor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North 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 27, 2018; 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.