Active NPI
Albert Dean Stuart, D.C.
- Chiropractor
- Henderson, NV
National Provider Identifier
1700929379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- B00855
- Practice address
- 321 N Pecos Rd
Suite 200
Henderson, NV 89074-1347 - Phone
- (702) 263-4925
- Fax
- (702) 263-6874
- NPI assigned
- Feb 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | B00855 | NV | Primary |
Addresses
Primary practice location
321 N Pecos Rd
Suite 200
Henderson, NV 89074-1347
Mailing address
PO Box 778075
Henderson, NV 89077-8075
Phone (702) 768-5171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
725 W Elliot Rd
Suite 115
Gilbert, AZ 85233-5301
Phone (480) 545-0000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B00855 | NV | MD | Chiropractor |
| 8083 | AZ | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gilbert Physical Medicine LLC | Chiropractor | Current | Accepting new patients |
| Revitalize Health and Wellness PLLC | Chiropractor | Past | Accepting new patients |
Locations
725 W Elliot Rd
Ste 115
Gilbert, AZ 85233
Phone (480) 500-6251
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Gilbert, AZ
- NPI 1649706623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235433600000",
"number": "1700929379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 778075",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890778075",
"telephone_number": "702-768-5171",
"fax_number": "702-252-4498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 N PECOS RD",
"address_2": "SUITE 200",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890741347",
"telephone_number": "702-263-4925",
"fax_number": "702-263-6874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUART",
"first_name": "ALBERT",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2009-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NV",
"license": "B00855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.