Active NPI
Peter Raymond Randall
Doing business as Randall Chiropractic and Rehabilitation
- Rehabilitation Chiropractor
- Las Vegas, NV
National Provider Identifier
1699243006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- Legal business name
- PETER RAYMOND RANDALL
- Doing business as
- Randall Chiropractic and Rehabilitation
- Practice address
- 2202 W Charleston Blvd Ste 10
Las Vegas, NV 89102-2229 - Phone
- (702) 385-5535
- Fax
- (702) 754-2574
- NPI assigned
- Nov 5, 2018
- Last updated
- Nov 5, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter Randall, DC
- Title
- Owner
- Phone
- (702) 385-5535
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | Primary |
Addresses
Primary practice location
2202 W Charleston Blvd Ste 10
Las Vegas, NV 89102-2229
Mailing address
2202 W Charleston Blvd Ste 10
Las Vegas, NV 89102-2229
Phone (702) 385-5535
Other names 1
- Randall Chiropractic and Rehabilitation
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1541376000000",
"number": "1699243006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 W CHARLESTON BLVD STE 10",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022229",
"telephone_number": "702-385-5535",
"fax_number": "702-754-2574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 W CHARLESTON BLVD STE 10",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022229",
"telephone_number": "702-385-5535",
"fax_number": "702-754-2574"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETER RAYMOND RANDALL",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-05",
"last_updated": "2018-11-05",
"status": "A",
"authorized_official_last_name": "RANDALL",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-385-5535",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Randall Chiropractic and Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.