Individual provider Active NPI

Sean T Ripp

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1790866499
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2000026-205 Issued in NV
Practice address
8665 W Flamingo Rd
Ste 109
Las Vegas, NV 89147-8621
Phone
(702) 384-0000
Fax
(702) 221-4853
NPI assigned
Oct 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2000026-205 NV Primary

Addresses

Primary practice location

8665 W Flamingo Rd
Ste 109
Las Vegas, NV 89147-8621

Mailing address

9464 Green Vineyard Ave
Las Vegas, NV 89148-4550
Phone (702) 736-8030

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

LicenseStateTypeSpecialty
2000026-205NVMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790866499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9464 GREEN VINEYARD AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484550",
            "telephone_number": "702-736-8030",
            "fax_number": "702-221-4853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8665 W FLAMINGO RD",
            "address_2": "STE 109",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478621",
            "telephone_number": "702-384-0000",
            "fax_number": "702-221-4853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIPP",
        "first_name": "SEAN",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "2000026-205",
            "primary": true
        }
    ],
    "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 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.

Verify at the official NPI Registry.