Individual provider Active NPI

James T Overland Jr., DC

  • Chiropractor
  • Henderson, NV
National Provider Identifier
1649478033
Registry record updated Jul 8, 2007
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Oct 20, 2008.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
NV B-526 Issued in NV
Practice address
55 S Valle Verde
Suite 450
Henderson, NV 89012-3110
Phone
(702) 614-9500
Fax
(702) 614-9505
NPI assigned
Jul 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NV B-526 NV Primary

Addresses

Primary practice location

55 S Valle Verde
Suite 450
Henderson, NV 89012-3110

Mailing address

55 S Valle Verde
Ste 450
Henderson, NV 89012-3110
Phone (702) 614-9500

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
NV B-526NVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
R Scott Ickes DC Inc Chiropractor Past Accepting new patients
Affiliated Healthcare, LLC Chiropractor Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649478033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S VALLE VERDE",
            "address_2": "STE 450",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890123110",
            "telephone_number": "702-614-9500",
            "fax_number": "702-614-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S VALLE VERDE",
            "address_2": "SUITE 450",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890123110",
            "telephone_number": "702-614-9500",
            "fax_number": "702-614-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERLAND",
        "first_name": "JAMES",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "NV B-526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.