Individual provider Active NPI

Jamie Spickelmier, D.C.

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1801953898
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B00531 Issued in NV
Practice address
5642 S Eastern Ave Ste C
Las Vegas, NV 89119-2310
Phone
(702) 736-8535
Fax
(702) 736-8520
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B00531 NV Primary

Addresses

Primary practice location

5642 S Eastern Ave Ste C
Las Vegas, NV 89119-2310

Mailing address

5642 S Eastern Ave Ste C
Las Vegas, NV 89119-2310
Phone (702) 736-8535

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091215000185 NV Practitioner - Chiropractic 4981744422 Reassigns benefits to 1 organization
Practice locations: Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5642 S Eastern Ave
Suite C
Las Vegas, NV 89119-2310
Phone (702) 736-8535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
B00531NVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Las Vegas Spine Injury Centers LLC Chiropractor CurrentSince Aug 1, 2020 Accepting new patients

Locations

5642 S Eastern Ave
Ste C
Las Vegas, NV 89119
Phone (702) 385-3333

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801953898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5642 S EASTERN AVE STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192310",
            "telephone_number": "702-736-8535",
            "fax_number": "702-736-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5642 S EASTERN AVE STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192310",
            "telephone_number": "702-736-8535",
            "fax_number": "702-736-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPICKELMIER",
        "first_name": "JAMIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B00531",
            "primary": true
        }
    ],
    "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 Jul 8, 2007; 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.