Central Parc LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

126595 Issued in NV

Legal business name

CENTRAL PARC LTD

Doing business as

Spinal Rehabilitation Center

Practice address

8440 W Lake Mead Blvd
#101
Las Vegas, NV 89128

Phone

(702) 255-1616

Fax

(702) 255-5393

NPI assigned

Jul 12, 2007

Last updated

Jul 12, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Jaget, DC

Title

Owner

Phone

(702) 255-1616

Specialties & licenses 1

Addresses

Other names 1

• Spinal Rehabilitation Center Doing business as

Locations

Practitioners 1

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.

• James Ray Vallejo, DC

  • Chiropractor
  • Las Vegas, NV
  • NPI 1730207085
  NPD (past)

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1558560334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8440 W LAKE MEAD BLVD",
            "address_2": "#101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89128",
            "telephone_number": "702-255-1616",
            "fax_number": "702-255-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 W LAKE MEAD BLVD",
            "address_2": "#101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89128",
            "telephone_number": "702-255-1616",
            "fax_number": "702-255-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PARC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "JAGET",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-255-1616",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "126595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spinal Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Centerwell Senior Primary Care NV P C (CenterWell Senior Primary Care-Spring Valley)
• Centerwell Senior Primary Care NV PC (CenterWell Senior Primary Care-South Summerlin)
• Centia Health LLC
• Jio Arven Aquino Centino
• Jill A Centoni, SLP
• Central Recovery Treatment LLC (Landmark Recovery of Las Vegas)
• Central Recovery Treatment LLC
• Central RX Services, LLC (IngenioRx Specialty)
• Centre for Psychosocial Rehabilitation Services
• Lauren Centrella

• Chiropractor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.