Active NPI
Brian Mitchell Devalliere, D.C.
- Chiropractor
- Reno, NV
National Provider Identifier
1417058876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- B00395
- Practice address
- 595 Mt Rose St
Reno, NV 89509 - Phone
- (775) 323-3660
- Fax
- (775) 323-6852
- NPI assigned
- Sep 26, 2006
- Last updated
- Jul 22, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | B00395 | NV | Primary |
Addresses
Primary practice location
595 Mt Rose St
Reno, NV 89509
Mailing address
595 Mt Rose St
Reno, NV 89509-3363
Phone (775) 323-3660
Other names 1
- Dr. Mitchell Devalliere
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B00395 | NV | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Works LTD | Chiropractor | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Reno, NV
- NPI 1740342021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216684800000",
"number": "1417058876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 MT ROSE ST",
"city": "RENO",
"state": "NV",
"postal_code": "895093363",
"telephone_number": "775-323-3660",
"fax_number": "775-323-6852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 MT ROSE ST",
"city": "RENO",
"state": "NV",
"postal_code": "89509",
"telephone_number": "775-323-3660",
"fax_number": "775-323-6852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVALLIERE",
"first_name": "BRIAN",
"middle_name": "MITCHELL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2008-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NV",
"license": "B00395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MITCHELL",
"last_name": "DEVALLIERE",
"prefix": "DR.",
"credential": "D.C.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.