Organization Active NPI

Fisher Family Chiropractic LTD

  • Chiropractor
  • Sparks, NV
National Provider Identifier
1306021902
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B-808 Issued in NV
Legal business name
FISHER FAMILY CHIROPRACTIC LTD
Practice address
2155 Green Vista Dr Ste 202
Sparks, NV 89431-8512
Phone
(775) 337-0184
Fax
(775) 337-2395
NPI assigned
Jan 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

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

Authorized official

Name
Clifford J Fisher, DC
Title
President
Phone
(775) 337-0184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X B-808 NV Primary

Addresses

Primary practice location

2155 Green Vista Dr Ste 202
Sparks, NV 89431-8512

Mailing address

2155 Green Vista Dr Ste 202
Sparks, NV 89431-8512
Phone (775) 337-0184

Other names 1

  • Family First Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040406000408 NV Part B Supplier - Clinic/Group Practice 8022001098 Receives reassigned benefits from 2 practitioners
Practice locations: Sparks, NV

National Provider Directory

National Provider Directory

Locations

2155 Green Vista Dr
Ste 202
Sparks, NV 89431
Phone (775) 337-0184

2115 Green Vista Dr
Ste 102
Sparks, NV 89431
Phone (775) 337-0184

Practitioners & affiliated clinicians

Practitioners 3

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": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510531200000",
    "number": "1306021902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 GREEN VISTA DR STE 202",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894318512",
            "telephone_number": "775-337-0184",
            "fax_number": "775-337-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 GREEN VISTA DR STE 202",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894318512",
            "telephone_number": "775-337-0184",
            "fax_number": "775-337-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHER FAMILY CHIROPRACTIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2017-11-13",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-337-0184",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B-808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family First Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.