Individual provider Active NPI

Paul Douglas Rovetti, D.C.

  • Chiropractor
  • Sparks, NV
National Provider Identifier
1386842532
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B-328 Issued in NV
Practice address
655 Greenbrae Dr
Suite C
Sparks, NV 89431-3171
Phone
(775) 355-1231
Fax
(775) 358-6843
NPI assigned
Jul 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B-328 NV Primary

Addresses

Primary practice location

655 Greenbrae Dr
Suite C
Sparks, NV 89431-3171

Mailing address

655 Greenbrae Dr
Suite C
Sparks, NV 89431-3171
Phone (775) 355-1231

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
B-328NVMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1386842532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 GREENBRAE DR",
            "address_2": "SUITE C",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894313171",
            "telephone_number": "775-355-1231",
            "fax_number": "775-358-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 GREENBRAE DR",
            "address_2": "SUITE C",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894313171",
            "telephone_number": "775-355-1231",
            "fax_number": "775-358-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROVETTI",
        "first_name": "PAUL",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B-328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.