NPIMap

Organization Active NPI

Spinalaid Center of Summerlin, LLC

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1396915179
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B00797 Issued in NV
Legal business name
SPINALAID CENTER OF SUMMERLIN, LLC
Practice address
7312 W Cheyenne Ave
Suite 1
Las Vegas, NV 89129-7428
Phone
(702) 568-8450
NPI assigned
Mar 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Dr. Israel Villasenor, D.C.
Title
President/Owner
Phone
(702) 568-8450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X B00797 NV Primary

Addresses

Primary practice location

7312 W Cheyenne Ave
Suite 1
Las Vegas, NV 89129-7428

Mailing address

270 E Horizon Dr
Suite 109
Henderson, NV 89015-8036
Phone (702) 568-8450

National Provider Directory

National Provider Directory

Locations

7312 W Cheyenne Ave
Ste 1
Las Vegas, NV 89129
Phone (702) 463-2223

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1396915179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 E HORIZON DR",
            "address_2": "SUITE 109",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890158036",
            "telephone_number": "702-568-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7312 W CHEYENNE AVE",
            "address_2": "SUITE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297428",
            "telephone_number": "702-568-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINALAID CENTER OF SUMMERLIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "VILLASENOR",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "702-568-8450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B00797",
            "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 Apr 10, 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.