NPIMap

Organization Active NPI

Golan Integrated Physical Medicine

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1316695026
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GOLAN INTEGRATED PHYSICAL MEDICINE
Practice address
500 S Rancho Dr Ste 9
Las Vegas, NV 89106-4848
Phone
(702) 870-8060
Fax
(702) 870-4844
NPI assigned
Mar 11, 2022
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
David R Golan
Title
Owner/Medical Director
Phone
(702) 396-4993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

500 S Rancho Dr Ste 9
Las Vegas, NV 89106-4848

Mailing address

PO Box 561564
Denver, CO 80256-1564

National Provider Directory

National Provider Directory
Tax ID family
Golan Integrated Physical4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1316695026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561564",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802561564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S RANCHO DR STE 9",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064848",
            "telephone_number": "702-870-8060",
            "fax_number": "702-870-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLAN INTEGRATED PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-11",
        "last_updated": "2023-09-06",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "GOLAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "702-396-4993"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.