Timothy Alan Windsor, DC

Individual provider Active NPI Chiropractor · Sparks, NV

NPI 1295584522 · NPPES record last updated May 17, 2024

Key facts

NPI
1295584522
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
B01823 (NV)
Practice address
1343 Baring Blvd
Sparks, NV 89434-8664
Phone
(779) 391-8124
NPI assigned
May 17, 2024
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
B01823NVMDChiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B01823 NV Yes

Addresses

Primary practice location

1343 Baring Blvd
Sparks, NV 89434-8664

Mailing address

7000 Mae Anne Ave Apt 2424
Reno, NV 89523-7149
Phone (775) 997-8142

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 17, 2024.

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1295584522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 MAE ANNE AVE APT 2424",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895237149",
            "telephone_number": "775-997-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 BARING BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894348664",
            "telephone_number": "779-391-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDSOR",
        "first_name": "TIMOTHY",
        "middle_name": "ALAN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

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Sources for this page

Verify at the official NPI Registry.