Organization Active NPI

Pastro Advanced Chiropractic Prof LLC

  • Chiropractor
  • Carson City, NV
National Provider Identifier
1649409160
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B00539 Issued in NV
Legal business name
PASTRO ADVANCED CHIROPRACTIC PROF LLC
Practice address
3232 Carmine St
Carson City, NV 89706-1831
Phone
(775) 883-4114
Fax
(775) 883-4770
NPI assigned
Jul 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Authorized official

Name
Dr. Bradley R Pastro, DCNPI 1376668327
Title
Owner
Phone
(775) 883-4114

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X B00539 NV Primary

Addresses

Primary practice location

3232 Carmine St
Carson City, NV 89706-1831

Mailing address

3232 Carmine St
Carson City, NV 89706-1831
Phone (775) 883-4114

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090909000537 NV Part B Supplier - Clinic/Group Practice 6002961315 Receives reassigned benefits from 1 practitioner
Practice locations: Carson City, NV

National Provider Directory

National Provider Directory

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": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1649409160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 CARMINE ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897061831",
            "telephone_number": "775-883-4114",
            "fax_number": "775-883-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3232 CARMINE ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897061831",
            "telephone_number": "775-883-4114",
            "fax_number": "775-883-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASTRO ADVANCED CHIROPRACTIC PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-06",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "PASTRO",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-883-4114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B00539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.

Verify at the official NPI Registry.