Individual provider Active NPI

Kelsie M Buth, D.C., M.S

  • Chiropractor
  • Henderson, NV
National Provider Identifier
1588035760
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5682 Issued in OR
Practice address
8935 S Pecos Rd Ste 21B
Henderson, NV 89074-7155
Phone
(702) 367-3600
Fax
(702) 947-2636
NPI assigned
Oct 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5682 OR Primary

Addresses

Primary practice location

8935 S Pecos Rd Ste 21B
Henderson, NV 89074-7155

Mailing address

3140 Saint Rose Pkwy Unit 1012
Henderson, NV 89052-3514

Other practice location 1

5060 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-1733
Phone (702) 254-6009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5682ORMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1588035760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 SAINT ROSE PKWY UNIT 1012",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8935 S PECOS RD STE 21B",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747155",
            "telephone_number": "702-367-3600",
            "fax_number": "702-947-2636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5060 S Fort Apache Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891481733",
            "country_code": "US",
            "telephone_number": "702-254-6009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTH",
        "first_name": "KELSIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C., M.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5682",
            "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 Dec 18, 2018; 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.