Organization Active NPI

Chris McBroom, LLC

  • Chiropractor
  • Reno, NV
National Provider Identifier
1235506619
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B01585 Issued in NV
Legal business name
CHRIS MCBROOM, LLC
Doing business as
Active Health
Practice address
2225 Hampton Park CT
Reno, NV 89521-5249
Phone
(775) 315-5159
NPI assigned
Sep 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Authorized official

Name
Dr. Christopher Paul McBroom, DC
Title
Owner
Phone
(775) 315-5159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X B01585 NV Primary

Addresses

Primary practice location

2225 Hampton Park CT
Reno, NV 89521-5249

Mailing address

1065 S Virginia St
Reno, NV 89502-2417

Other names 1

  • Active Health Doing business as

National Provider Directory

National Provider Directory

Locations

1065 S Virginia St
Reno, NV 89502
Phone (775) 224-2296

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1235506619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 S VIRGINIA ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895022417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 HAMPTON PARK CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215249",
            "telephone_number": "775-315-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS MCBROOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "MCBROOM",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-315-5159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.