John Fitzgerald, D.C.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

B01047 Issued in NV

Practice address

7355 Bermuda Island St
Las Vegas, NV 89123-1172

Phone

(702) 372-5195

NPI assigned

Mar 23, 2009

Last updated

Mar 23, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237766400000",
    "number": "1568603447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7355 BERMUDA ISLAND ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231172",
            "telephone_number": "702-372-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7355 BERMUDA ISLAND ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231172",
            "telephone_number": "702-372-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01047",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "NV",
            "license": "B01047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amalya Fitzgerald
• Amber Fitzgerald
• Cynthia Jayne Fitzgerald, M.S., CCC-SLP
• Cynthia Rydzewski Fitzgerald, CRNA
• Emma Nicole Fitzgerald
• Julie Fitzgerald, APRN-BC
• Karen Fitzgerald
• Kevin Fitzgerald
• Lerline Fitzgerald
• Phaedra Fitzgerald

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; 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.