Active NPI
Chandler Medina
- Chiropractor
- Henderson, NV
National Provider Identifier
1730768615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- B01873
- Practice address
- 1489 W Warm Springs Rd Ste 125
Henderson, NV 89014-7637 - Phone
- (702) 209-2525
- NPI assigned
- Apr 6, 2021
- 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 | B01873 | NV | Primary |
Addresses
Primary practice location
1489 W Warm Springs Rd Ste 125
Henderson, NV 89014-7637
Mailing address
6767 W Windmill LN Apt 2037
Las Vegas, NV 89139-6507
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 |
|---|---|---|---|
| B01873 | NV | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1730768615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6767 W WINDMILL LN APT 2037",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891396507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1489 W WARM SPRINGS RD STE 125",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890147637",
"telephone_number": "702-209-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "CHANDLER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-06",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NV",
"license": "B01873",
"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 Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.