Kim M Borselli, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

B00492 Issued in NV

Practice address

2625 S Rainbow Blvd Ste C102
Las Vegas, NV 89146-5181

Phone

(702) 432-4878

Fax

(702) 432-4879

NPI assigned

Sep 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Terry Wong D C LLC

  • Chiropractor
  • Las Vegas, NV
  • NPI 1275817744
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1811089253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 W SAHARA AVE # 613",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175858",
            "telephone_number": "702-412-9308",
            "fax_number": "702-432-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 S RAINBOW BLVD STE C102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465181",
            "telephone_number": "702-432-4878",
            "fax_number": "702-432-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORSELLI",
        "first_name": "KIM",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "21933",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B00492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nerissa Tempora Castellano Borromeo, DPT
• Ralph Joseph Real Borromeo, APRN
• Salvador Garcia Borromeo III, MD
• Daniel Nicanor Borroto Acosta
• Jose Luis Borroto
• Christopher William Borsellino, MS CCC-SLP
• Tara Renee Snyder Borsh, PSY.D., LP
• Kiva Borsody, RN
• Meira Borsody
• Tiffany Borum

• Chiropractor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.