Organization Active NPI

Advanced Health Chiropractic LLC

  • Chiropractor
  • Reno, NV
National Provider Identifier
1619029436
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ADVANCED HEALTH CHIROPRACTIC LLC
Practice address
9570 S McCarran Blvd
Suite 110
Reno, NV 89523-9201
Phone
(775) 746-2555
Fax
(775) 746-2566
NPI assigned
Jan 18, 2007
Last updated
Nov 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Dr. Melissa A Perotti, DCNPI 1598830507
Title
DC
Phone
(775) 746-8555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

9570 S McCarran Blvd
Suite 110
Reno, NV 89523-9201

Mailing address

9570 S McCarran Blvd
Suite 110
Reno, NV 89523-9201
Phone (775) 746-2555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070409000240 NV Part B Supplier - Clinic/Group Practice 6608970223 Receives reassigned benefits from 1 practitioner
Practice locations: Reno, NV

National Provider Directory

National Provider Directory

Locations

9570 S McCarran Blvd
Ste 110
Reno, NV 89523
Phone (775) 746-2555

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1619029436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9570 S MCCARRAN BLVD",
            "address_2": "SUITE 110",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895239201",
            "telephone_number": "775-746-2555",
            "fax_number": "775-746-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9570 S MCCARRAN BLVD",
            "address_2": "SUITE 110",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895239201",
            "telephone_number": "775-746-2555",
            "fax_number": "775-746-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTH CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "PEROTTI",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DC",
        "authorized_official_telephone_number": "775-746-8555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.