Individual provider Active NPI

Joseph Anthony Cozza, D.C.

  • Physical Medicine & Rehabilitation Physician
  • Las Vegas, NV
National Provider Identifier
1407166010
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
B01252 Issued in NV
Practice address
6592 N. Decatur Blvd.
Suite# 115
Las Vegas, NV 89131-1038
Phone
(702) 396-4993
Fax
(702) 636-4990
NPI assigned
Oct 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B01252 NV
Nutrition Chiropractor 111NN1001X B01252 NV
Physical Medicine & Rehabilitation Physician 208100000X B01252 NV Primary

Addresses

Primary practice location

6592 N. Decatur Blvd.
Suite# 115
Las Vegas, NV 89131-1038

Mailing address

PO Box 401805
Las Vegas, NV 89140-1805
Phone (702) 396-4993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110124001059 NV Practitioner - Chiropractic 4587843438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6592 N Decatur Blvd
Suite 115
Las Vegas, NV 89131-1038
Phone (702) 396-4993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
B01252NVMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golan Integrated Physical Medicine Chiropractor CurrentSince Dec 1, 2023 Accepting new patients
Golan Integrated Physical Medicine Chiropractor CurrentSince Dec 1, 2023 Accepting new patients
Summit Anesthesia Consultants, Inc Past Accepting new patients

Locations

321 N Pecos Rd
Ste 200
Henderson, NV 89074
Phone (702) 263-4925

6592 N Decatur Blvd
Ste 115
Las Vegas, NV 89131
Phone (702) 396-4993

3841 W Charleston Blvd
Ste 100
Las Vegas, NV 89102
Phone (702) 577-5829

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1407166010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 401805",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891401805",
            "telephone_number": "702-396-4993",
            "fax_number": "702-636-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6592 N. DECATUR BLVD.",
            "address_2": "SUITE# 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891311038",
            "telephone_number": "702-396-4993",
            "fax_number": "702-636-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COZZA",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-15",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01252",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "NV",
            "license": "B01252",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "B01252",
            "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 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.