Organization Active NPI

Fust Chiropractic PLLC

Doing business as Green Valley Neck and Back

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1326311093
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FUST CHIROPRACTIC PLLC
Doing business as
Green Valley Neck and Back
Practice address
3663 E Sunset Rd
Suite 503
Las Vegas, NV 89120-3218
Phone
(702) 434-2800
Fax
(702) 451-1034
NPI assigned
Feb 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Authorized official

Name
Kenneth Fust, D.C.
Title
Manager
Phone
(702) 434-2800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Physical Therapy Clinic/Center 261QP2000X 1710 NV

Addresses

Primary practice location

3663 E Sunset Rd
Suite 503
Las Vegas, NV 89120-3218

Mailing address

3663 E Sunset Rd
Suite 503
Las Vegas, NV 89120-3218
Phone (702) 434-2800

Other names 1

  • GREEN VALLEY NECK AND BACK Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1326311093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 E SUNSET RD",
            "address_2": "SUITE 503",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203218",
            "telephone_number": "702-434-2800",
            "fax_number": "702-451-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 E SUNSET RD",
            "address_2": "SUITE 503",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203218",
            "telephone_number": "702-434-2800",
            "fax_number": "702-451-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUST CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "FUST",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-434-2800",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NV",
            "license": "1710",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREEN VALLEY NECK AND BACK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 10, 2012; 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.