Active NPI
Richard Matthew McIntyre, D.C.
- Orthopedic Chiropractor
- Las Vegas, NV
National Provider Identifier
1760482756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- B 149
- Practice address
- 9555 S Eastern Ave
Suite 240
Las Vegas, NV 89123-8008 - Phone
- (702) 301-3862
- Fax
- (702) 914-6950
- NPI assigned
- Jul 30, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | B 149 | NV | Primary |
Addresses
Primary practice location
9555 S Eastern Ave
Suite 240
Las Vegas, NV 89123-8008
Mailing address
3046 Hartsville Rd
Henderson, NV 89052-8514
Phone (702) 914-6950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 668342 | Other | NV | ANTHEM BCBS HMO, PPO |
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 |
|---|---|---|---|
| B 149 | NV | MD | Orthopedic Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760482756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3046 HARTSVILLE RD",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890528514",
"telephone_number": "702-914-6950",
"fax_number": "702-914-6950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9555 S EASTERN AVE",
"address_2": "SUITE 240",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891238008",
"telephone_number": "702-301-3862",
"fax_number": "702-914-6950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTYRE",
"first_name": "RICHARD",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "NV",
"license": "B 149",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS HMO, PPO",
"identifier": "668342",
"state": "NV"
}
],
"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, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.