Active NPI
Marshall Calvert, NCLMP
- Massage Therapist
- Las Vegas, NV
National Provider Identifier
1760780696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 3071
- Practice address
- 3085 East Russell Road
Suite E
Las Vegas, NV 89120-3482 - Phone
- (702) 433-8333
- Fax
- (702) 433-4632
- NPI assigned
- Mar 1, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 3071 | NV | Primary |
| Massage Therapist | 225700000X | MA00025067 | WA | |
| Massage Therapist | 225700000X | 2002000659 | MO |
Addresses
Primary practice location
3085 East Russell Road
Suite E
Las Vegas, NV 89120-3482
Mailing address
8665 W Flamingo Rd
PMB #131-113
Las Vegas, NV 89147-8621
Phone (253) 320-5415
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002000659 | MO | MD | Massage Therapist |
| 3071 | NV | MD | Massage Therapist |
| MA00025067 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298937600000",
"number": "1760780696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8665 W FLAMINGO RD",
"address_2": "PMB #131-113",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891478621",
"telephone_number": "253-320-5415",
"fax_number": "877-503-6586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3085 EAST RUSSELL ROAD",
"address_2": "SUITE E",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891203482",
"telephone_number": "702-433-8333",
"fax_number": "702-433-4632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALVERT",
"first_name": "MARSHALL",
"name_prefix": "Mr.",
"credential": "NCLMP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-01",
"last_updated": "2011-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NV",
"license": "3071",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00025067",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MO",
"license": "2002000659",
"primary": false
}
],
"identifiers": [],
"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 Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.