Organization Active NPI

Sunrise Chiropractic

  • Chiropractor
  • Henderson, NV
National Provider Identifier
1447654777
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B00363 Issued in NV
Legal business name
SUNRISE CHIROPRACTIC
Practice address
4019 E Sunset Rd
Henderson, NV 89014-0215
Phone
(702) 452-5000
Fax
(702) 452-8609
NPI assigned
Oct 15, 2014
Last updated
Oct 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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

Authorized official

Name
Michael Sheldon KelseyNPI 1336480219
Title
President
Phone
(702) 452-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X B00363 NV Primary

Addresses

Primary practice location

4019 E Sunset Rd
Henderson, NV 89014-0215

Mailing address

4019 E Sunset Rd
Henderson, NV 89014-0215
Phone (702) 452-5000

National Provider Directory

National Provider Directory

Locations

4019 E Sunset Rd
Henderson, NV 89014
Phone (702) 452-5000

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": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1447654777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4019 E SUNSET RD",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140215",
            "telephone_number": "702-452-5000",
            "fax_number": "702-452-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4019 E SUNSET RD",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140215",
            "telephone_number": "702-452-5000",
            "fax_number": "702-452-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "KELSEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SHELDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-452-5000"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B00363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.