Active NPI
Thor Mongie D C LTD
- Radiology Chiropractor
- Las Vegas, NV
National Provider Identifier
1407033269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Chiropractor
- License
- B00981
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Chiropractor | 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 DirectoryLocations
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.
-
- Radiology Chiropractor
- Payson, UT
- NPI 1104988989
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.