Roger M. Penna, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

B598 Issued in NV

Practice address

2670 Crimson Canyon Dr Ste 150
Las Vegas, NV 89128-0848

Phone

(702) 232-3189

Fax

(702) 233-6713

NPI assigned

May 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1306899489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 NATURE PARK DR STE 135",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890843187",
            "telephone_number": "702-636-2843",
            "fax_number": "702-726-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 CRIMSON CANYON DR STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280848",
            "telephone_number": "702-232-3189",
            "fax_number": "702-233-6713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2590 Nature Park Dr Ste 135",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890843187",
            "country_code": "US",
            "telephone_number": "702-636-2843",
            "fax_number": "702-726-9543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENNA",
        "first_name": "ROGER",
        "middle_name": "M.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NV",
            "license": "B598",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Yolonda Layvon Penn
• Keyonni Penn
• Lanesha Penn
• Regina Penn
• Stephanie Penn
• Shy Ann Pennell
• William Pennell
• Donald Kenneth Pennelle, M.D.
• Jesse D Pennepacker
• Andrew Penner

• Chiropractor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.