Organization Active NPI

Michael Nelson DC LTD

  • Chiropractor
  • Reno, NV
National Provider Identifier
1659640696
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B558 Issued in NV
Legal business name
MICHAEL NELSON DC LTD
Practice address
9441 Double Diamond Pkwy
Suite 13
Reno, NV 89521-6012
Phone
(775) 622-1822
NPI assigned
Dec 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Authorized official

Name
Dr. Michael Nelson, DC
Title
President
Phone
(775) 815-3780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X B558 NV Primary

Addresses

Primary practice location

9441 Double Diamond Pkwy
Suite 13
Reno, NV 89521-6012

Mailing address

18124 Wedge Pkwy
Suite 163
Reno, NV 89511-8134
Phone (775) 815-3780

Other names 1

  • NA Other name

National Provider Directory

National Provider Directory

Locations

18124 Wedge Pkwy
Reno, NV 89511
Phone (800) 401-5593

NPI Registry JSON

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1659640696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18124 WEDGE PKWY",
            "address_2": "SUITE 163",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895118134",
            "telephone_number": "775-815-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9441 DOUBLE DIAMOND PKWY",
            "address_2": "SUITE 13",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895216012",
            "telephone_number": "775-622-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL NELSON DC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-815-3780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 20, 2011; 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.