Active NPI
James Ray Vallejo, DC
- Chiropractor
- Las Vegas, NV
National Provider Identifier
1730207085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- B-708
- Practice address
- 8440 W Lake Mead Blvd
Suite 101
Las Vegas, NV 89128-7648 - Phone
- (702) 838-2225
- Fax
- (702) 255-5393
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | B-708 | NV | Primary |
Addresses
Primary practice location
8440 W Lake Mead Blvd
Suite 101
Las Vegas, NV 89128-7648
Mailing address
8436 Sewards Bluff Ave
Las Vegas, NV 89129-7375
Phone (702) 561-8692
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B-708 | NV | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Parc LTD | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730207085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8436 SEWARDS BLUFF AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891297375",
"telephone_number": "702-561-8692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8440 W LAKE MEAD BLVD",
"address_2": "SUITE 101",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891287648",
"telephone_number": "702-838-2225",
"fax_number": "702-255-5393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLEJO",
"first_name": "JAMES",
"middle_name": "RAY",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NV",
"license": "B-708",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.