David C Ketchum, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

B842 Issued in NV

Practice address

2647 Box Canyon Dr
Las Vegas, NV 89128-0450

Phone

(702) 363-5575

Fax

(702) 646-1727

NPI assigned

Jun 28, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Chiromed Buckeye LLCGroup PAC ID 6709235054, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southwest Chiromed Buckeye LLC

  • Multi-Specialty Clinic/Center
  • Buckeye, AZ
  • NPI 1063292563

  Chiropractor

  Medicare reassignment Care Compare group NPD Authorized official
• Integrated Healthcare Partners PLLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1669190963

  Chiropractor

  NPD
• Southwest Chiromed Goodyear LLC

  • Emergency Medicine Physician
  • Goodyear, AZ
  • NPI 1285472969

  Chiropractor

  NPD
• Advanced Spine & Rehabilitation LLC

  • Chiropractor
  • Henderson, NV
  • NPI 1295774263
  NPD (past)
• Affiliated Healthcare, LLC

  • Chiropractor
  • Pahrump, NV
  • NPI 1366630543
  NPD (past)
• Robert Roth MD a Professional

  dba Box Canyon Primary Care

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1023287695
  NPD (past)

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1467458067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2647 BOX CANYON DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280450",
            "telephone_number": "702-363-5575",
            "fax_number": "702-646-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2647 BOX CANYON DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280450",
            "telephone_number": "702-363-5575",
            "fax_number": "702-646-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETCHUM",
        "first_name": "DAVID",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NV",
            "license": "B842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIR BD OF NV LICENSE",
            "identifier": "B842",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ketaminamd LLC
• Ketamine Wellness Centers Las Vegas (Ketamine Wellness Centers)
• Carl Anderson Ketcham, DO
• Courtney Ketcham
• Andrea Ketchum
• Natalia Ketchum, RBT
• Latonya J. Ketchup, LMSW
• Laquisa Ketrell
• Anna M Ketron, OTR/L
• Daniel Rafael Keuchkarian

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.