Individual provider Active NPI

Michael Rogall Epperson, DC

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1477080265
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B01614 Issued in NV
Practice address
8678 Spring Mountain Rd Ste 103
Las Vegas, NV 89117-4103
Phone
(702) 384-0000
Fax
(702) 221-4853
NPI assigned
May 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B01614 NV Primary

Addresses

Primary practice location

8678 Spring Mountain Rd Ste 103
Las Vegas, NV 89117-4103

Mailing address

8678 Spring Mountain Rd Ste 103
Las Vegas, NV 89117-4103
Phone (702) 384-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3640 B Ashley Phosphate Rd
Suite B
N Charleston, SC 29418-8501

4068 W 217TH St
Fairview Park, OH 44126-1138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
B01614NVMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1477080265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8678 SPRING MOUNTAIN RD STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174103",
            "telephone_number": "702-384-0000",
            "fax_number": "702-221-4853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8678 SPRING MOUNTAIN RD STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174103",
            "telephone_number": "702-384-0000",
            "fax_number": "702-221-4853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPERSON",
        "first_name": "MICHAEL",
        "middle_name": "ROGALL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01614",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.