Organization Active NPI

Vondra Family Chiropractic PC

  • Health Service Clinic/Center
  • Fernley, NV
National Provider Identifier
1700049301
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
B-863 Issued in NV
Legal business name
VONDRA FAMILY CHIROPRACTIC PC
Practice address
186 E Main St
5
Fernley, NV 89408-7723
Phone
(775) 575-9922
NPI assigned
Jul 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Authorized official

Name
Dr. Joseph Alan Vondra, D.C.NPI 1114047990
Title
President/Owner
Phone
(775) 575-9922

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)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X B-863 NV Primary

Addresses

Primary practice location

186 E Main St
5
Fernley, NV 89408-7723

Mailing address

186 E Main St
5
Fernley, NV 89408-7723
Phone (775) 575-9922

Other identifiers 1

IdentifierTypeStateIssuer
1114047990OtherINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081226000069 NV Part B Supplier - Clinic/Group Practice 4880756972 Receives reassigned benefits from 1 practitioner
Practice locations: Sparks, NV

National Provider Directory

National Provider Directory

Locations

4994 Vista Blvd
Sparks, NV 89436
Phone (775) 470-5224

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1700049301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 E MAIN ST",
            "address_2": "5",
            "city": "FERNLEY",
            "state": "NV",
            "postal_code": "894087723",
            "telephone_number": "775-575-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 E MAIN ST",
            "address_2": "5",
            "city": "FERNLEY",
            "state": "NV",
            "postal_code": "894087723",
            "telephone_number": "775-575-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VONDRA FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "VONDRA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "775-575-9922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NV",
            "license": "B-863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1114047990",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernley, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.