Organization Active NPI

Ideal Chiropractic

  • Chiropractor
  • Henderson, NV
National Provider Identifier
1497183768
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B788 Issued in NV
Legal business name
IDEAL CHIROPRACTIC
Practice address
10624 S Eastern Ave Ste Q
Henderson, NV 89052-2975
Phone
(702) 617-8676
Fax
(702) 617-8678
NPI assigned
Oct 24, 2013
Last updated
Oct 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Authorized official

Name
Dr. Jason Louis Insera, DCNPI 1740377407
Title
Chiropractor
Phone
(702) 617-8676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B788 NV Primary

Addresses

Primary practice location

10624 S Eastern Ave Ste Q
Henderson, NV 89052-2975

Mailing address

10624 S Eastern Ave Ste Q
Henderson, NV 89052-2975
Phone (702) 617-8676

National Provider Directory

National Provider Directory

Locations

10624 S Eastern Ave
Ste Q
Henderson, NV 89052
Phone (702) 463-3626

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1497183768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10624 S EASTERN AVE STE Q",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522975",
            "telephone_number": "702-617-8676",
            "fax_number": "702-617-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10624 S EASTERN AVE STE Q",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522975",
            "telephone_number": "702-617-8676",
            "fax_number": "702-617-8678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "INSERA",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "702-617-8676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 24, 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.

Verify at the official NPI Registry.