Individual provider Active NPI

Mark Duncan Baxter, D.C.

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1801888128
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B-168 Issued in NV
Practice address
6332 S. Rainbow Blvd.
Suite #120
Las Vegas, NV 89118-3235
Phone
(702) 891-8833
Fax
(702) 891-8866
NPI assigned
Aug 22, 2005
Last updated
Aug 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B-168 NV Primary
Chiropractor 111N00000X 11850 CA

Addresses

Primary practice location

6332 S. Rainbow Blvd.
Suite #120
Las Vegas, NV 89118-3235

Mailing address

6332 S. Rainbow Blvd.
Suite #120
Las Vegas, NV 89118-3235
Phone (702) 891-8833

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
11850CAMDChiropractor
B-168NVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Hodnett MD PC Past Accepting new patients
Las Vegas Spine Injury Centers LLC Chiropractor PastSince Aug 1, 2020 Accepting new patients
Life Science Health Center LLC Past Accepting new patients
First Choice Chiropractic LLC Chiropractor Past Accepting new patients

Organizations & group practices 4

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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1801888128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6332 S. RAINBOW BLVD.",
            "address_2": "SUITE #120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183235",
            "telephone_number": "702-891-8833",
            "fax_number": "702-891-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6332 S. RAINBOW BLVD.",
            "address_2": "SUITE #120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183235",
            "telephone_number": "702-891-8833",
            "fax_number": "702-891-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "MARK",
        "middle_name": "DUNCAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B-168",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "11850",
            "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 Aug 12, 2015; 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.