NPIMap

Organization Active NPI

Mountain West Chiropractic, LLC

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1427009042
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B458 Issued in NV
Legal business name
MOUNTAIN WEST CHIROPRACTIC, LLC
Practice address
9034 W Sahara Ave
Las Vegas, NV 89117-5744
Phone
(702) 256-8686
Fax
(702) 256-2206
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Albert G Simoncelli, DC
Title
Owner/Manager
Phone
(702) 256-8686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X B458 NV Primary

Addresses

Primary practice location

9034 W Sahara Ave
Las Vegas, NV 89117-5744

Mailing address

9030 W Sahara Ave
Suite 1290
Las Vegas, NV 89117-5744
Phone (702) 256-8686

Other identifiers 1

IdentifierTypeStateIssuer
1730390964OtherNVDR. ERIC J HOMA

National Provider Directory

National Provider Directory

Locations

9034 W Sahara Ave
Las Vegas, NV 89117
Phone (702) 256-8686

5575 Simmons St
Ste 12
North Las Vegas, NV 89031
Phone (702) 396-4993

Practitioners & affiliated clinicians

Practitioners 8

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": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427009042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9030 W SAHARA AVE",
            "address_2": "SUITE 1290",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175744",
            "telephone_number": "702-256-8686",
            "fax_number": "702-256-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9034 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175744",
            "telephone_number": "702-256-8686",
            "fax_number": "702-256-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN WEST CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMONCELLI",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "702-256-8686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. ERIC J HOMA",
            "identifier": "1730390964",
            "state": "NV"
        }
    ],
    "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 Aug 22, 2020; 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.