The Spine, Disc & Nerve Doctor, Inc.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

B01660 Issued in NV

Legal business name

THE SPINE, DISC & NERVE DOCTOR, INC.

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

Organization subpart

No

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

Authorized official

Name

Dr. Patrick R.E. Davis, DC

Title

President, Owner & Operator

Phone

(702) 448-4566

Specialties & licenses 1

Addresses

Other names 1

• The Spine Disc & Nerve Doctor Doing business as

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"
        }
    ]
}

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• 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.