Organization Active NPI

Sundance Chiropractic

  • Chiropractor
  • N Las Vegas, NV
National Provider Identifier
1659795482
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B00739 Issued in NV
Legal business name
SUNDANCE CHIROPRACTIC
Practice address
3315 W Craig Rd Ste 105
N Las Vegas, NV 89032-5001
Phone
(702) 735-7246
Fax
(702) 489-7556
NPI assigned
Feb 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Authorized official

Name
Dr. Larry Robert Holt, D.C.
Title
Doctor/Owner
Phone
(702) 735-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X B00739 NV Primary

Addresses

Primary practice location

3315 W Craig Rd Ste 105
N Las Vegas, NV 89032-5001

Mailing address

3315 W Craig Rd Ste 105
N Las Vegas, NV 89032-5001
Phone (702) 735-7246

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1659795482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 W CRAIG RD STE 105",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890325001",
            "telephone_number": "702-735-7246",
            "fax_number": "702-489-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 W CRAIG RD STE 105",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890325001",
            "telephone_number": "702-735-7246",
            "fax_number": "702-489-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "702-735-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B00739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.