Individual provider Active NPI

Tarek Fuad Tawil, DC, CTP

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1487425120
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B02041 Issued in NV
Practice address
3737 Pecos McLeod Ste 101
Las Vegas, NV 89121-4263
Phone
(702) 369-5436
NPI assigned
Jan 11, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC36794 CA
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 202200389 NV
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X B02041 NV Primary

Addresses

Primary practice location

3737 Pecos McLeod Ste 101
Las Vegas, NV 89121-4263

Mailing address

3737 Pecos McLeod Ste 101
Las Vegas, NV 89121-4263
Phone (702) 369-5436

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

State licenses

LicenseStateTypeSpecialty
DC36794CAMDChiropractor
B02041NVMDChiropractor
202200389NVMDIndian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

NPI Registry JSON

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1487425120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 PECOS MCLEOD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214263",
            "telephone_number": "702-369-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 PECOS MCLEOD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214263",
            "telephone_number": "702-369-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAWIL",
        "first_name": "TAREK",
        "middle_name": "FUAD",
        "name_prefix": "Dr.",
        "credential": "DC, CTP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-11",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC36794",
            "primary": false
        },
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": "NV",
            "license": "202200389",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B02041",
            "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 Jan 20, 2025; 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.