NPIMap

Organization Active NPI

Spring Mountain Chiropractic and Rehabilitation

  • Rehabilitation Chiropractor
  • Pahrump, NV
National Provider Identifier
1730352618
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
B00810 Issued in NV
Legal business name
SPRING MOUNTAIN CHIROPRACTIC AND REHABILITATION
Practice address
2080 E Calvada Blvd # 100
Pahrump, NV 89048-5844
Phone
(775) 537-6110
Fax
(775) 537-6151
NPI assigned
Apr 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Dr. Derek Roland Foreman, D.C.
Title
Chiropractor/Owner
Phone
(775) 537-6110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X B00810 NV Primary

Addresses

Primary practice location

2080 E Calvada Blvd # 100
Pahrump, NV 89048-5844

Mailing address

2080 E Calvada Blvd # 100
Pahrump, NV 89048-5844
Phone (775) 537-6110

National Provider Directory

National Provider Directory

Locations

2080 E Calvada Blvd
Ste 100
Pahrump, NV 89048
Phone (775) 537-6110

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1730352618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 E CALVADA BLVD # 100",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890485844",
            "telephone_number": "775-537-6110",
            "fax_number": "775-537-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 E CALVADA BLVD # 100",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890485844",
            "telephone_number": "775-537-6110",
            "fax_number": "775-537-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING MOUNTAIN CHIROPRACTIC AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "FOREMAN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "ROLAND",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "775-537-6110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NV",
            "license": "B00810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahrump, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.