Active NPI
Bobby Joe Forsyth, D.C.
- Chiropractor
- Las Vegas, NV
National Provider Identifier
1811183270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- B964
- Practice address
- 5288 Spring Mountain Rd
Suite 250
Las Vegas, NV 89146-8723 - Phone
- (702) 248-1881
- Fax
- (702) 248-3886
- NPI assigned
- Sep 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | B964 | NV | Primary |
Addresses
Primary practice location
5288 Spring Mountain Rd
Suite 250
Las Vegas, NV 89146-8723
Mailing address
5288 Spring Mountain Rd
Suite 250
Las Vegas, NV 89146-8723
Phone (702) 248-1881
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B964 | NV | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Chiro Care | 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.
-
- Chiropractor
- Las Vegas, NV
- NPI 1336260165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232409600000",
"number": "1811183270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5288 SPRING MOUNTAIN RD",
"address_2": "SUITE 250",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891468723",
"telephone_number": "702-248-1881",
"fax_number": "702-248-3886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5288 SPRING MOUNTAIN RD",
"address_2": "SUITE 250",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891468723",
"telephone_number": "702-248-1881",
"fax_number": "702-248-3886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORSYTH",
"first_name": "BOBBY",
"middle_name": "JOE",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-19",
"last_updated": "2009-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NV",
"license": "B964",
"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 Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.