Organization Active NPI

Decatur Pain Center, LLC.

Doing business as Excel Chiro Care

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1740552793
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B845 Issued in NV
Legal business name
DECATUR PAIN CENTER, LLC.
Doing business as
Excel Chiro Care
Practice address
5288 Spring Mountain Rd
Ste 200
Las Vegas, NV 89146-8723
Phone
(702) 248-1881
Fax
(702) 248-3886
NPI assigned
Feb 7, 2012
Last updated
Feb 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Authorized official

Name
Dr. James K Lo, D.C.
Title
Owner
Phone
(702) 248-1881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B845 NV Primary

Addresses

Primary practice location

5288 Spring Mountain Rd
Ste 200
Las Vegas, NV 89146-8723

Mailing address

5288 Spring Mountain Rd
Ste 200
Las Vegas, NV 89146-8723
Phone (702) 248-1881

Other names 1

  • Excel Chiro Care Doing business as

National Provider Directory

National Provider Directory

Locations

5288 Spring Mountain Rd
Ste 200
Las Vegas, NV 89146
Phone (702) 248-1881

NPI Registry JSON

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1740552793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5288 SPRING MOUNTAIN RD",
            "address_2": "STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468723",
            "telephone_number": "702-248-1881",
            "fax_number": "702-248-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5288 SPRING MOUNTAIN RD",
            "address_2": "STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468723",
            "telephone_number": "702-248-1881",
            "fax_number": "702-248-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR PAIN CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-248-1881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excel Chiro Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 7, 2012; 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.