Individual provider Active NPI

Gina Danielle Perone, DC

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1356112304
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B02023 Issued in NV
Practice address
9630 W Skye Canyon Park Dr Ste 160
Las Vegas, NV 89166-6616
Phone
(702) 209-2722
NPI assigned
Jan 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B02023 NV Primary

Addresses

Primary practice location

9630 W Skye Canyon Park Dr Ste 160
Las Vegas, NV 89166-6616

Mailing address

9630 W Skye Canyon Park Dr Ste 160
Las Vegas, NV 89166-6616
Phone (702) 209-2722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240125002880 NV Practitioner - Chiropractic 2163875147 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Adrienne K. Stauffer DC PLLC Chiropractor CurrentSince Dec 12, 2023 Accepting new patients

Locations

9630 W Skye Canyon Park Dr
Ste 160
Las Vegas, NV 89166
Phone (702) 209-2722

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1356112304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9630 W SKYE CANYON PARK DR STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891666616",
            "telephone_number": "702-209-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9630 W SKYE CANYON PARK DR STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891666616",
            "telephone_number": "702-209-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERONE",
        "first_name": "GINA",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B02023",
            "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 Jan 9, 2024; 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.