Individual provider Active NPI

Derek T Day, DC

  • Chiropractor
  • Henderson, NV
National Provider Identifier
1790893360
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B660 Issued in NV
Practice address
10170 S Eastern Ave
Ste 110
Henderson, NV 89052-3969
Phone
(702) 614-6777
Fax
(702) 614-6778
NPI assigned
Aug 25, 2006
Last updated
Jul 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B660 NV Primary

Addresses

Primary practice location

10170 S Eastern Ave
Ste 110
Henderson, NV 89052-3969

Mailing address

10170 S Eastern Ave
Ste 110
Henderson, NV 89052-3969
Phone (702) 614-6777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040917000657 NV Practitioner - Chiropractic 0244208239 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dickinson Chiropractic of Nevada LLCGroup PAC ID 0749633816, 5 clinicians

Practice addresses (Care Compare)

10170 S Eastern Ave
Suite 110
Henderson, NV 89052-3969
Phone (702) 614-6777

5960 Losee Rd
Suite 124
North Las Vegas, NV 89081-6202
Phone (702) 608-3362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
B660NVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dickinson Chiropractic of Nevada, LLC Chiropractor CurrentSince Jan 26, 2026 Accepting new patients

Locations

10170 S Eastern Ave
Ste 110
Henderson, NV 89052
Phone (702) 614-6777

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1790893360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10170 S EASTERN AVE",
            "address_2": "STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523969",
            "telephone_number": "702-614-6777",
            "fax_number": "702-614-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10170 S EASTERN AVE",
            "address_2": "STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523969",
            "telephone_number": "702-614-6777",
            "fax_number": "702-614-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAY",
        "first_name": "DEREK",
        "middle_name": "T",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.