Active NPI
Ptcii Inc
Doing business as Valley Spine and Health Center
- Sports Physician Chiropractor
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- B00678
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dennis Dale Dumler, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3602067 | Medicaid | NV |
Other names 1
- Valley Spine and Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Sports Physician Chiropractor
- Las Vegas, NV
- NPI 1437220118
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"
}
]
}
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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.