Sierra Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

B02006 Issued in NV

Legal business name

SIERRA CHIROPRACTIC, LLC

Practice address

3670 Grant Dr
Suite 101
Reno, NV 89509-5309

Phone

(775) 852-3333

Fax

(775) 322-0606

NPI assigned

Jul 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gerald L Edwards, DC

Title

Managing Member

Phone

(775) 852-3333

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1558525501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 GRANT DR",
            "address_2": "SUITE 101",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095309",
            "telephone_number": "775-852-3333",
            "fax_number": "775-322-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 GRANT DR",
            "address_2": "SUITE 101",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095309",
            "telephone_number": "775-852-3333",
            "fax_number": "775-322-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "775-852-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B02006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Reno, NV
• Providers in Reno, NV by specialty
• Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.