Active NPI
Performance Chiropractic Enterprise LLC
- Chiropractor
- Reno, NV
National Provider Identifier
1619054699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- B01240
- Legal business name
- PERFORMANCE CHIROPRACTIC ENTERPRISE LLC
- Practice address
- 5480 Reno Corporate Dr
Suite 200
Reno, NV 89511-2250 - Phone
- (775) 853-0250
- Fax
- (775) 853-0252
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Trista Dawn Gomez
- Title
- Office Manager
- Phone
- (775) 853-0250
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | B01240 | NV | Primary |
Addresses
Primary practice location
5480 Reno Corporate Dr
Suite 200
Reno, NV 89511-2250
Mailing address
5480 Reno Corporate Dr
Suite 200
Reno, NV 89511-2250
Phone (775) 853-0250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5480 Reno Corporate Dr
#200
Reno, NV 89511
Phone (775) 853-0250
5488 Reno Corporate Dr
Ste 200
Reno, NV 89511
Phone (775) 853-0250
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Reno, NV
- NPI 1740481845
-
- Chiropractor
- Reno, NV
- NPI 1457490583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1460332800000",
"number": "1619054699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5480 RENO CORPORATE DR",
"address_2": "SUITE 200",
"city": "RENO",
"state": "NV",
"postal_code": "895112250",
"telephone_number": "775-853-0250",
"fax_number": "775-853-0252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5480 RENO CORPORATE DR",
"address_2": "SUITE 200",
"city": "RENO",
"state": "NV",
"postal_code": "895112250",
"telephone_number": "775-853-0250",
"fax_number": "775-853-0252"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERFORMANCE CHIROPRACTIC ENTERPRISE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2016-04-11",
"status": "A",
"authorized_official_last_name": "GOMEZ",
"authorized_official_first_name": "TRISTA",
"authorized_official_middle_name": "DAWN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "775-853-0250",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NV",
"license": "B01240",
"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 Apr 11, 2016; 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.