Summerlin Chiropractic Inc,

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

B1039 Issued in NV

Legal business name

SUMMERLIN CHIROPRACTIC INC,

Doing business as

Dermatrend Chiropractic

Practice address

8785 W. Warm Springs Rd.
Suite 109
Las Vegas, NV 89148

Phone

(702) 731-1200

Fax

(702) 736-6302

NPI assigned

Mar 5, 2008

Last updated

Jun 12, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

SUMMERLIN CHIROPRACTICAs reported in NPPES

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

Authorized official

Name

Dr. Lawrence R. Smith, D.C.NPI 1265501357

Title

Doctor

Phone

(702) 731-1200

Specialties & licenses 1

Addresses

Other names 1

• Dermatrend Chiropractic Doing business as

Part of

Summerlin Chiropractic Inc

Locations

Practitioners 2

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.

• Lawrence R Smith, DC, M.D

  • Hospitalist Physician
  • North Las Vegas, NV
  • NPI 1265501357
  NPD (past) Authorized official
• Kenton Lance Crowley, PHARM.D.

  • Pharmacist
  • Las Vegas, NV
  • NPI 1831365444
  NPD (past)

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244764800000",
    "number": "1295905339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8785 W WARM SPRINGS RD STE 109",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481824",
            "telephone_number": "702-731-1200",
            "fax_number": "702-736-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8785 W. WARM SPRINGS RD.",
            "address_2": "SUITE 109",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89148",
            "telephone_number": "702-731-1200",
            "fax_number": "702-736-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERLIN CHIROPRACTIC INC,",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMERLIN CHIROPRACTIC",
        "enumeration_date": "2008-03-05",
        "last_updated": "2009-06-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "702-731-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NV",
            "license": "B1039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatrend Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Summerhills Nielson PDC PLLC (SummerHills Dental)
• Shakiel Sharon Summerise
• Summerland Mental Health LLC (Summerland Mental Health)
• Summerlin ABA Services
• Summerlin ABA Services LLC
• Summerlin Dental Solutions
• Summerlin Health & Wellness
• Summerlin Healthcare, Inc. (Comfort Home Health)
• Summerlin Healthcare, Inc. (Comfort Hospice)
• Summerlin Hospice and Palliative Care Inc

• Health Maintenance Organization in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Health Maintenance Organization in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; 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.