Active NPI
Fust Chiropractic PLLC
Doing business as Green Valley Neck and Back
- Chiropractor
- Las Vegas, NV
National Provider Identifier
1326311093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
National Provider Directory
National Provider DirectoryNPI 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.