Organization Active NPI

Anthem Chiropractic Inc

  • Rehabilitation Chiropractor
  • Henderson, NV
National Provider Identifier
1518108927
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
B00660 Issued in NV
Legal business name
ANTHEM CHIROPRACTIC INC
Practice address
10170 S Eastern Ave Ste 110
Henderson, NV 89052-3969
Phone
(702) 614-6777
Fax
(702) 614-6778
NPI assigned
Mar 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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

Authorized official

Name
Dr. Derek T Day, D.C.NPI 1790893360
Title
President
Phone
(702) 614-6777

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
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X B00660 NV Primary

Addresses

Primary practice location

10170 S Eastern Ave Ste 110
Henderson, NV 89052-3969

Mailing address

10170 S Eastern Ave Ste 110
Henderson, NV 89052-3969
Phone (702) 614-6777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090504000230 NV Part B Supplier - Clinic/Group Practice 2365590262 Receives reassigned benefits from 1 practitioner
Practice locations: Henderson, NV

National Provider Directory

National Provider Directory

Locations

10170 S Eastern Ave
Ste 1
Henderson, NV 89052

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1518108927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10170 S EASTERN AVE STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523969",
            "telephone_number": "702-614-6777",
            "fax_number": "702-614-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10170 S EASTERN AVE STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523969",
            "telephone_number": "702-614-6777",
            "fax_number": "702-614-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHEM CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-614-6777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NV",
            "license": "B00660",
            "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 Mar 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.