Individual provider Active NPI

Edward Phillip Vicente-Aponte, DC

  • Chiropractor
  • Henderson, NV
National Provider Identifier
1407555972
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B01930 Issued in NV
Practice address
1546 W Warm Springs Rd Ste 120
Henderson, NV 89014-4326
Phone
(702) 960-5778
NPI assigned
Feb 23, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B01930 NV Primary

Addresses

Primary practice location

1546 W Warm Springs Rd Ste 120
Henderson, NV 89014-4326

Mailing address

9133 Rory Storm St
Las Vegas, NV 89113-6253

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250321000380 NV Practitioner - Chiropractic 9830611615 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
B01930NVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Balance Chiropractic Center LLC Chiropractor CurrentSince Feb 21, 2025 Accepting new patients

Locations

1546 W Warm Springs Rd
Ste 120
Henderson, NV 89014
Phone (702) 248-0000

Organizations & group practices 1

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": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1407555972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9133 RORY STORM ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891136253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1546 W WARM SPRINGS RD STE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890144326",
            "telephone_number": "702-960-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICENTE-APONTE",
        "first_name": "EDWARD",
        "middle_name": "PHILLIP",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-23",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.