NPIMap

Organization Active NPI

Dale a Anderson D C LTD

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1700025509
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B119 Issued in NV
Legal business name
DALE A ANDERSON D C LTD
Practice address
2389 Renaissance Dr
Suite a
Las Vegas, NV 89119-6106
Phone
(702) 458-1495
Fax
(702) 458-7696
NPI assigned
Feb 18, 2009
Last updated
Mar 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Authorized official

Name
Dr. Dale Allen Anderson, D.C.NPI 1679557359
Title
Owner
Phone
(702) 458-1495

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X B119 NV Primary

Addresses

Primary practice location

2389 Renaissance Dr
Suite a
Las Vegas, NV 89119-6106

Mailing address

PO Box 71440
Las Vegas, NV 89170-1440
Phone (702) 458-1495

National Provider Directory

National Provider Directory

Locations

2389 Renaissance Dr
Ste A
Las Vegas, NV 89119
Phone (702) 458-1495

Practitioners & 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": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1700025509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71440",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891701440",
            "telephone_number": "702-458-1495",
            "fax_number": "702-458-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2389 RENAISSANCE DR",
            "address_2": "SUITE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196106",
            "telephone_number": "702-458-1495",
            "fax_number": "702-458-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE A ANDERSON D C LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-458-1495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B119",
            "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 Mar 16, 2009; 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.