Nellis Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

B00840 Issued in NV

Legal business name

NELLIS CHIROPRACTIC, INC.

Practice address

2875 S Nellis Blvd
Ste. a-7
Las Vegas, NV 89121-2086

Phone

(702) 438-8383

Fax

(702) 438-9014

NPI assigned

Oct 26, 2007

Last updated

Oct 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andre Grove, D.C.NPI 1356407670

Title

President

Phone

(702) 438-8383

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andre Lavel Grove, D.C.

  • Chiropractor
  • Las Vegas, NV
  • NPI 1356407670
  Authorized official Same address or phone

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1760661680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 S NELLIS BLVD",
            "address_2": "STE. A-7",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891212086",
            "telephone_number": "702-438-8383",
            "fax_number": "702-438-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 S NELLIS BLVD",
            "address_2": "STE. A-7",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891212086",
            "telephone_number": "702-438-8383",
            "fax_number": "702-438-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELLIS CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "GROVE",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-438-8383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B00840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominic Neiman, RBT
• Olivia Yvonne Neiswender
• Mae Suma Nekoba, MSN, AGACNP-BC, APRN
• Riondra Trenaye Nellems
• Nellis Care Pharmacy Inc (Nellis Care Pharmacy)
• Nellis Home Health
• Nellis Home Health
• Gabriella Marie Nellis, RBT
• Ajay K. Nellutla, M.D.
• Dejahnae Lanae Nelms

• 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 Oct 26, 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.

Verify at the official NPI Registry.