Organization Active NPI

Genesis Integrated Medicine

  • Sports Physician Chiropractor
  • Las Vegas, NV
National Provider Identifier
1639987753
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
Legal business name
GENESIS INTEGRATED MEDICINE
Practice address
8925 W Post Rd Ste 105
Las Vegas, NV 89148-2433
Phone
(702) 849-2459
Fax
(702) 840-4701
NPI assigned
Dec 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Rkki Beedle, DC
Title
Partner
Phone
(702) 849-2459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X Primary

Addresses

Primary practice location

8925 W Post Rd Ste 105
Las Vegas, NV 89148-2433

Mailing address

8925 W Post Rd Ste 105
Las Vegas, NV 89148-2433
Phone (702) 849-2459

National Provider Directory

National Provider Directory

Locations

8925 W Post Rd
Ste 105
Las Vegas, NV 89148
Phone (702) 849-2459

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1639987753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8925 W POST RD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482433",
            "telephone_number": "702-849-2459",
            "fax_number": "702-840-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8925 W POST RD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482433",
            "telephone_number": "702-849-2459",
            "fax_number": "702-840-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS INTEGRATED MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "BEEDLE",
        "authorized_official_first_name": "RKKI",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "702-849-2459",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 20, 2024; 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.