NPIMap

Organization Active NPI

Kevin Thomas Bahoora Advanced Spine and Wellness

Doing business as Advanced Spine and Wellness

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1447524855
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B-799 Issued in NV
Legal business name
KEVIN THOMAS BAHOORA ADVANCED SPINE AND WELLNESS
Doing business as
Advanced Spine and Wellness
Practice address
7035 W. Ann Rd #160
Las Vegas, NV 89130-3868
Phone
(702) 396-0277
Fax
(702) 396-3790
NPI assigned
Mar 2, 2012
Last updated
Apr 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Authorized official

Name
Keven Thomas Bahoora, D.C.NPI 1669530242
Title
Chiropractic Physician/Owner/Pres
Phone
(702) 396-0277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X B-799 NV Primary

Addresses

Primary practice location

7035 W. Ann Rd #160
Las Vegas, NV 89130-3868

Mailing address

7035 W. Ann Rd #160
Las Vegas, NV 89130-3868
Phone (702) 396-0277

Other names 1

  • Advanced Spine and Wellness Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1447524855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7035 W. ANN RD #160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303868",
            "telephone_number": "702-396-0277",
            "fax_number": "702-396-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7035 W. ANN RD #160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303868",
            "telephone_number": "702-396-0277",
            "fax_number": "702-396-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN THOMAS BAHOORA ADVANCED SPINE AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "BAHOORA",
        "authorized_official_first_name": "KEVEN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN/OWNER/PRES",
        "authorized_official_telephone_number": "702-396-0277",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B-799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Spine and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Spine and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 12, 2022; 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.