Individual provider Active NPI

Shadia Koury-Hajal, D.C.

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1356481576
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B00843 Issued in NV
Practice address
2300 N Rainbow Blvd
#121 & 122
Las Vegas, NV 89108-7350
Phone
(702) 259-0233
Fax
(702) 259-0148
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B00843 NV Primary

Addresses

Primary practice location

2300 N Rainbow Blvd
#121 & 122
Las Vegas, NV 89108-7350

Mailing address

8512 Copper Mountain Ave
Las Vegas, NV 89129-7614
Phone (702) 435-1648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
B00843NVMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356481576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8512 COPPER MOUNTAIN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297614",
            "telephone_number": "702-435-1648",
            "fax_number": "702-259-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N RAINBOW BLVD",
            "address_2": "#121 & 122",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891087350",
            "telephone_number": "702-259-0233",
            "fax_number": "702-259-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOURY-HAJAL",
        "first_name": "SHADIA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B00843",
            "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 Jul 8, 2007; 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.