Organization Active NPI

Active Health Chiropractic LLC

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1730236563
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
217090 Issued in NV
Legal business name
ACTIVE HEALTH CHIROPRACTIC LLC
Practice address
7445 S Durango Dr Ste 105
Las Vegas, NV 89113-3611
Phone
(702) 453-5000
Fax
(702) 453-3007
NPI assigned
Jan 4, 2007
Last updated
Jul 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Authorized official

Name
Dr. Don Vuong, D.C.NPI 1407903347
Title
Doctor, Managing Member
Phone
(702) 453-5000

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
Chiropractor 111N00000X 217090 NV Primary

Addresses

Primary practice location

7445 S Durango Dr Ste 105
Las Vegas, NV 89113-3611

Mailing address

7445 S Durango Dr Ste 105
Las Vegas, NV 89113-3611
Phone (702) 453-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050811000962 NV Part B Supplier - Clinic/Group Practice 5395774012 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

7445 S Durango Dr
Ste 105
Las Vegas, NV 89113
Phone (702) 453-5000

Practitioners & affiliated clinicians

Practitioners 2

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": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1730236563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7445 S DURANGO DR STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133611",
            "telephone_number": "702-453-5000",
            "fax_number": "702-453-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7445 S DURANGO DR STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133611",
            "telephone_number": "702-453-5000",
            "fax_number": "702-453-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE HEALTH CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "VUONG",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "DOCTOR, MANAGING MEMBER",
        "authorized_official_telephone_number": "702-453-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "217090",
            "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, 2020; 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.