Breagan M Madejek D C, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

B01531 Issued in NV

Legal business name

BREAGAN M MADEJEK D C, PLLC

Doing business as

Southern Nevada MUA

Practice address

1212 Casino Center Drive
Las Vegas, NV 89104

Phone

(989) 971-9700

NPI assigned

Jan 20, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Breagan Marie Madejek, D.C.

Title

Owner/Chiropractor

Phone

(989) 971-9700

Specialties & licenses 1

Addresses

Other names 1

• Southern Nevada MUA Doing business as

Locations

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1376080093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 563",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891250563",
            "telephone_number": "989-971-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 CASINO CENTER DRIVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89104",
            "telephone_number": "989-971-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAGAN M MADEJEK D C, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "MADEJEK",
        "authorized_official_first_name": "BREAGAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "989-971-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NV",
            "license": "B01531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Nevada MUA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.