Matthew G Roach D C a Professional Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

B-704 Issued in NV

Legal business name

MATTHEW G ROACH D C A PROFESSIONAL CORPORATION

Doing business as

Weston Chiropractic

Practice address

5650 W Flamingo Rd
Suite a
Las Vegas, NV 89103-0172

Phone

(702) 871-3420

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Matthew G Roach, D.C.NPI 1184756298

Title

Owner

Phone

(702) 871-3420

Specialties & licenses 1

Addresses

Other names 1

• Weston Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew G Roach, D.C.

  • Chiropractor
  • Las Vegas, NV
  • NPI 1184756298
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1740490069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 W FLAMINGO RD",
            "address_2": "SUITE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891030172",
            "telephone_number": "702-871-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 W FLAMINGO RD",
            "address_2": "SUITE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891030172",
            "telephone_number": "702-871-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW G ROACH D C A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-871-3420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B-704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weston Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Weston Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Matthew Okeke MD LTD (Grand Desert Psychiatric Services)

• Chiropractor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.