Kevin Thomas Bahoora Advanced Spine and Wellness

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

B-799 Issued in NV

Legal business name

KEVIN THOMAS BAHOORA 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

Organization subpart

No

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

Authorized official

Name

Keven Thomas Bahoora, D.C.

Title

Chiropractic Physician/Owner/Pres

Phone

(702) 396-0277

Specialties & licenses 1

Addresses

Other names 1

• Advanced Spine and Wellness Doing business as

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"
        }
    ]
}

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• Chiropractor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Chiropractor in Nevada

• 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.