NPIMap

Organization Active NPI

Northern Nevada Chiropractic LLC

  • Chiropractor
  • Reno, NV
National Provider Identifier
1295144558
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NORTHERN NEVADA CHIROPRACTIC LLC
Practice address
5301 Longley LN # B-43
Reno, NV 89511-1805
Phone
(775) 829-8686
NPI assigned
Aug 11, 2014
Last updated
Sep 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Authorized official

Name
Daniel Welch, D.C.NPI 1275551434
Title
President
Phone
(775) 225-6035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

5301 Longley LN # B-43
Reno, NV 89511-1805

Mailing address

5301 Longley LN # B-43
Reno, NV 89511-1805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161128001042 NV Part B Supplier - Clinic/Group Practice 3375830144 Receives reassigned benefits from 4 practitioners
Practice locations: Reno, NV

National Provider Directory

National Provider Directory

Locations

5301 Longley Ln
#B43
Reno, NV 89511
Phone (775) 829-8686

Practitioners & affiliated clinicians

Practitioners 5

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": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1295144558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 LONGLEY LN # B-43",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 LONGLEY LN # B-43",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111805",
            "telephone_number": "775-829-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN NEVADA CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-225-6035",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.