Active NPI
Cameron Mitchell Dudley, D.C.
- Chiropractor
- Las Vegas, NV
National Provider Identifier
1467591297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- B00447
- Practice address
- 7240 W Lake Mead Blvd
Suite 3
Las Vegas, NV 89128-8356 - Phone
- (702) 453-0440
- Fax
- (702) 453-0550
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | B00447 | NV | Primary |
Addresses
Primary practice location
7240 W Lake Mead Blvd
Suite 3
Las Vegas, NV 89128-8356
Mailing address
7240 W Lake Mead Blvd
Suite 3
Las Vegas, NV 89128-8356
Phone (702) 453-0440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3602060 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2650 S Maryland Pkwy
Suite A2
Las Vegas, NV 89109-1665
Phone (702) 453-0440
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burke Spinal Care, LTD | Chiropractor | Current | Accepting new patients |
| Burke Spinal Care, LTD | Chiropractor | Current | Accepting new patients |
| Desert Springs Hospital | Past | Accepting new patients | |
| Centennial Hills Hospital Medical Center | Past | Accepting new patients | |
| Sunrise Mountainview Hospital, Inc. | Past | Accepting new patients | |
| University Medical Center of Southern Nevada | Past | Accepting new patients |
Locations
7240 W Lake Mead Blvd
Ste 3
Las Vegas, NV 89128
Phone (702) 453-0440
2650 S Maryland Pkwy
Ste A2
Las Vegas, NV 89109
Phone (702) 453-0440
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Las Vegas, NV
- NPI 1841323326
-
- Chiropractor
- Las Vegas, NV
- NPI 1679612428
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1487771812
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1154317964
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1831143817
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1548393127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429833600000",
"number": "1467591297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7240 W LAKE MEAD BLVD",
"address_2": "SUITE 3",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891288356",
"telephone_number": "702-453-0440",
"fax_number": "702-453-0550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7240 W LAKE MEAD BLVD",
"address_2": "SUITE 3",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891288356",
"telephone_number": "702-453-0440",
"fax_number": "702-453-0550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDLEY",
"first_name": "CAMERON",
"middle_name": "MITCHELL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2015-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NV",
"license": "B00447",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3602060",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
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 24, 2015; 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.