Organization Active NPI

Thor Mongie D C LTD

  • Radiology Chiropractor
  • Las Vegas, NV
National Provider Identifier
1407033269
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology ChiropractorTaxonomy code 111NR0200X
License
B00981 Issued in NV
Legal business name
THOR MONGIE D C LTD
Practice address
2820 W Charleston Blvd
#A6
Las Vegas, NV 89102-1942
Phone
(702) 258-7860
Fax
(702) 258-5487
NPI assigned
Jan 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
Mrs. Brittany Douglas
Title
Biller
Phone
(702) 258-7860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0200X B00981 NV Primary

Addresses

Primary practice location

2820 W Charleston Blvd
#A6
Las Vegas, NV 89102-1942

Mailing address

2820 W Charleston Blvd
#A6
Las Vegas, NV 89102-1942
Phone (702) 258-7860

National Provider Directory

National Provider Directory

Locations

2820 W Charleston Blvd
#A6
Las Vegas, NV 89102
Phone (702) 258-7860

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": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1407033269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 W CHARLESTON BLVD",
            "address_2": "#A6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021942",
            "telephone_number": "702-258-7860",
            "fax_number": "702-258-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 W CHARLESTON BLVD",
            "address_2": "#A6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021942",
            "telephone_number": "702-258-7860",
            "fax_number": "702-258-5487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOR MONGIE D C LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "702-258-7860",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Radiology",
            "state": "NV",
            "license": "B00981",
            "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 Sep 1, 2010; 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.