NPIMap

Organization Active NPI

Stephen L. Fair, D.C., LTD

  • Rehabilitation Chiropractor
  • Las Vegas, NV
National Provider Identifier
1457532244
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
B00922 Issued in NV
Legal business name
STEPHEN L. FAIR, D.C., LTD
Practice address
500 N Rainbow Blvd
Suite 115
Las Vegas, NV 89107-1082
Phone
(702) 256-8080
Fax
(702) 256-8081
NPI assigned
Nov 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Barrie J Minadeo Knutson, CMA-A
Title
Office Manager
Phone
(702) 256-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X B00922 NV Primary

Addresses

Primary practice location

500 N Rainbow Blvd
Suite 115
Las Vegas, NV 89107-1082

Mailing address

500 N Rainbow Blvd
Suite 115
Las Vegas, NV 89107-1082
Phone (702) 256-8080

Other names 1

  • American Spine & Sports Rehbilitation Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1457532244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N RAINBOW BLVD",
            "address_2": "SUITE 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071082",
            "telephone_number": "702-256-8080",
            "fax_number": "702-256-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N RAINBOW BLVD",
            "address_2": "SUITE 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071082",
            "telephone_number": "702-256-8080",
            "fax_number": "702-256-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN L. FAIR, D.C., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "MINADEO KNUTSON",
        "authorized_official_first_name": "BARRIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-256-8080",
        "authorized_official_credential": "CMA-A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NV",
            "license": "B00922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Spine & Sports Rehbilitation",
            "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 Nov 20, 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.