Individual provider Active NPI

Daniel Melton Thompson, DC

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1609973312
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B00401 Issued in NV
Practice address
5650 W Flamingo Rd
Suite #a
Las Vegas, NV 89103-0172
Phone
(702) 221-0991
Fax
(702) 871-4729
NPI assigned
Sep 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B00401 NV Primary

Addresses

Primary practice location

5650 W Flamingo Rd
Suite #a
Las Vegas, NV 89103-0172

Mailing address

5650 W Flamingo Rd
Suite #a
Las Vegas, NV 89103-0172
Phone (702) 221-0991

Other identifiers 1

IdentifierTypeStateIssuer
003602059MedicaidNV

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
B00401NVMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1609973312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 W FLAMINGO RD",
            "address_2": "SUITE #A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891030172",
            "telephone_number": "702-221-0991",
            "fax_number": "702-871-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 W FLAMINGO RD",
            "address_2": "SUITE #A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891030172",
            "telephone_number": "702-221-0991",
            "fax_number": "702-871-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "DANIEL",
        "middle_name": "MELTON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B00401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003602059",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.