Organization Active NPI

Ptcii Inc

Doing business as Valley Spine and Health Center

  • Sports Physician Chiropractor
  • Las Vegas, NV
National Provider Identifier
1801160023
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
B00678 Issued in NV
Legal business name
PTCII INC
Doing business as
Valley Spine and Health Center
Practice address
9075 S Eastern Ave Ste 4
Las Vegas, NV 89123-4858
Phone
(702) 312-7920
Fax
(702) 312-9714
NPI assigned
Mar 6, 2012
Last updated
Aug 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Authorized official

Name
Dr. Dennis Dale Dumler, DCNPI 1437220118
Title
Physician
Phone
(702) 312-7920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X B00678 NV Primary

Addresses

Primary practice location

9075 S Eastern Ave Ste 4
Las Vegas, NV 89123-4858

Mailing address

9075 S Eastern Ave Ste 4
Las Vegas, NV 89123-4858
Phone (702) 312-7920

Other identifiers 1

IdentifierTypeStateIssuer
3602067MedicaidNV

Other names 1

  • Valley Spine and Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120313000199 NV Part B Supplier - Clinic/Group Practice 3072772946 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

9075 S Eastern Ave
Ste 4
Las Vegas, NV 89123
Phone (702) 312-7920

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1801160023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9075 S EASTERN AVE STE 4",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891234858",
            "telephone_number": "702-312-7920",
            "fax_number": "702-312-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9075 S EASTERN AVE STE 4",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891234858",
            "telephone_number": "702-312-7920",
            "fax_number": "702-312-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PTCII INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "DUMLER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "702-312-7920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NV",
            "license": "B00678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3602067",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Spine and Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.