NPIMap

Organization Active NPI

Legacy Chiropractic

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1659588242
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4689 Issued in MN
Legal business name
LEGACY CHIROPRACTIC
Practice address
4567 W Flamingo Rd
Las Vegas, NV 89103-3702
Phone
(702) 368-3463
Fax
(702) 368-0027
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Sandra Ramsey
Title
Owner
Phone
(612) 922-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 4689 MN Primary

Addresses

Primary practice location

4567 W Flamingo Rd
Las Vegas, NV 89103-3702

Mailing address

210 N 2ND St Ste 103
Minneapolis, MN 55401-1439
Phone (612) 922-2225

National Provider Directory

National Provider Directory

Locations

210 N 2nd St
Ste 103
Minneapolis, MN 55401

4567 W Flamingo Rd
Las Vegas, NV 89103
Phone (702) 368-3463

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659588242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N 2ND ST STE 103",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554011439",
            "telephone_number": "612-922-2225",
            "fax_number": "612-746-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4567 W FLAMINGO RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033702",
            "telephone_number": "702-368-3463",
            "fax_number": "702-368-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAMSEY",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-922-2225",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4689",
            "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 Aug 22, 2020; 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.