Individual provider Active NPI

Darrell Craig Swolensky, DC

  • Chiropractor
  • Henderson, NV
National Provider Identifier
1801896733
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B-732 Issued in NV
Practice address
858 S Boulder Hwy
Henderson, NV 89015-7564
Phone
(702) 565-7474
Fax
(702) 442-0756
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B-732 NV Primary

Addresses

Primary practice location

858 S Boulder Hwy
Henderson, NV 89015-7564

Mailing address

858 S Boulder Hwy
Henderson, NV 89015-7564
Phone (702) 565-7474

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040504000619 NV Practitioner - Chiropractic 5991793416 Practice locations: Henderson, NV

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
B-732NVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Swolensky Chiropractic LTD Chiropractor Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1801896733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 S BOULDER HWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157564",
            "telephone_number": "702-565-7474",
            "fax_number": "702-442-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "858 S BOULDER HWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157564",
            "telephone_number": "702-565-7474",
            "fax_number": "702-442-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWOLENSKY",
        "first_name": "DARRELL",
        "middle_name": "CRAIG",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B-732",
            "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 Dec 4, 2009; 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.