Organization Active NPI

Desert Valley Chiropractic

  • Chiropractor
  • Pahrump, NV
National Provider Identifier
1417148354
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B-0613 Issued in NV
Legal business name
DESERT VALLEY CHIROPRACTIC
Practice address
2340 E Calvada Blvd Ste 3
Pahrump, NV 89048-5821
Phone
(775) 727-0888
Fax
(775) 727-2362
NPI assigned
Aug 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Dr. Sam D Colarusso, D.C,
Title
Owner/Physician
Phone
(775) 727-0888

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X B-0613 NV Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X B-0871 NV

Addresses

Primary practice location

2340 E Calvada Blvd Ste 3
Pahrump, NV 89048-5821

Mailing address

2340 E Calvada Blvd Ste 3
Pahrump, NV 89048-5821
Phone (775) 727-0888

National Provider Directory

National Provider Directory

Locations

2340 E Calvada Blvd
Ste 3
Pahrump, NV 89048
Phone (775) 727-0888

1151 S Nevada Highway 160
#100
Pahrump, NV 89048
Phone (775) 727-0888

Practitioners & affiliated clinicians

Practitioners 3

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": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1417148354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E CALVADA BLVD STE 3",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890485821",
            "telephone_number": "775-727-0888",
            "fax_number": "775-727-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E CALVADA BLVD STE 3",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890485821",
            "telephone_number": "775-727-0888",
            "fax_number": "775-727-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT VALLEY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "COLARUSSO",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "775-727-0888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C,"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B-0613",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B-0871",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahrump, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.