Active NPI
Douglas Patrick Manfra, D.C.
- Orthopedic Chiropractor
- Las Vegas, NV
National Provider Identifier
1821080276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- B-291
- Practice address
- 4500 E Bonanza Rd
Ste.D
Las Vegas, NV 89110-3365 - Phone
- (702) 388-0599
- Fax
- (702) 388-2877
- NPI assigned
- Aug 19, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | B-291 | NV | Primary |
Addresses
Primary practice location
4500 E Bonanza Rd
Ste.D
Las Vegas, NV 89110-3365
Mailing address
1842 Napoleon Dr
Las Vegas, NV 89156-7184
Phone (702) 432-6123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051206000965 | NV | Practitioner - Chiropractic | 4284654120 | Practice locations: Las Vegas, NV |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4500 E Bonanza D
Las Vegas, NV 89110-3470
4500 E Bonanza Rd
Suite D
Las Vegas, NV 89110-3470
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B-291 | NV | MD | Orthopedic Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1821080276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1842 NAPOLEON DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891567184",
"telephone_number": "702-432-6123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 E BONANZA RD",
"address_2": "STE.D",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891103365",
"telephone_number": "702-388-0599",
"fax_number": "702-388-2877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANFRA",
"first_name": "DOUGLAS",
"middle_name": "PATRICK",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "NV",
"license": "B-291",
"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 Jun 11, 2008; 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.