Bennett W Patterson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

B01929 Issued in NV

Practice address

2590 Nature Park Dr Ste 135
North Las Vegas, NV 89084-3187

Phone

(702) 636-2843

Fax

(702) 726-9543

NPI assigned

Mar 2, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Summit Integrated Health of Nevada

  • Primary Care Clinic/Center
  • Las Vegas, NV
  • NPI 1043053390

  Chiropractor

  Medicare reassignment NPD
• Summit Integrated Health of NLV

  • Family Nurse Practitioner
  • North Las Vegas, NV
  • NPI 1801464110

  Chiropractor

  Medicare reassignment NPD

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1386278141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 NATURE PARK DR STE 135",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890843187",
            "telephone_number": "702-636-2843",
            "fax_number": "702-726-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 NATURE PARK DR STE 135",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890843187",
            "telephone_number": "702-636-2843",
            "fax_number": "702-726-9543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2670 Crimson Canyon Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280848",
            "country_code": "US",
            "telephone_number": "702-232-3189",
            "fax_number": "702-726-9543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "BENNETT",
        "middle_name": "W",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-02",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathways to Learning
• Patients Choice LLC
• Ruby Patino
• Jenny Patricio
• Lejannel Patrick
• Dominick Lacy-Venett Patterson
• Khamryn D Patterson
• Kunta Patterson
• Seandra N Patterson
• Tanya Patterson

• Chiropractor in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.