Active NPI
Naomi Ghandour Sakin, D.C.
- Chiropractor
- Henderson, NV
National Provider Identifier
1477625697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 29882
- Practice address
- 10624 S Eastern Ave
St. Q
Henderson, NV 89052-2982 - Phone
- (702) 463-3626
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 29882 | CA | Primary |
| Chiropractor | 111N00000X | B01406 | NV |
Addresses
Primary practice location
10624 S Eastern Ave
St. Q
Henderson, NV 89052-2982
Mailing address
2812 Soaring Peak Ave
Henderson, NV 89052-7703
Phone (702) 463-3626
Other names 1
- Naomi Ghandour
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29882 | CA | MD | Clinical Social Worker |
| B01406 | NV | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383868800000",
"number": "1477625697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2812 SOARING PEAK AVE",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890527703",
"telephone_number": "702-463-3626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10624 S EASTERN AVE",
"address_2": "ST. Q",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890522982",
"telephone_number": "702-463-3626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAKIN",
"first_name": "NAOMI",
"middle_name": "GHANDOUR",
"name_prefix": "Ms.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2013-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "29882",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NV",
"license": "B01406",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NAOMI",
"last_name": "GHANDOUR",
"credential": "D.C.",
"code": "1",
"type": "Former Name"
}
]
}
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 Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.