Individual provider Active NPI

James David Salem II, DC

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1831362771
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B936 Issued in NV
Practice address
4270 S Decatur Blvd Ste A5
Las Vegas, NV 89103-6801
Phone
(702) 509-5098
Fax
(702) 924-6356
NPI assigned
Apr 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B936 NV Primary

Addresses

Primary practice location

4270 S Decatur Blvd Ste A5
Las Vegas, NV 89103-6801

Mailing address

8465 W Sahara Ave Ste 111-249
Las Vegas, NV 89117-8960
Phone (702) 509-5098

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190812002213 NV Practitioner - Chiropractic 3870820905 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
B936NVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Injury Medical Associates CurrentSince Feb 16, 2020 Accepting new patients

Locations

4270 S Decatur Blvd
Ste A5
Las Vegas, NV 89103
Phone (702) 509-5098

8465 W Sahara Ave
Ste 111249
Las Vegas, NV 89117

Organizations & group practices 2

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": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1831362771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8465 W SAHARA AVE STE 111-249",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178960",
            "telephone_number": "702-509-5098",
            "fax_number": "702-924-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4270 S DECATUR BLVD STE A5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891036801",
            "telephone_number": "702-509-5098",
            "fax_number": "702-924-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEM",
        "first_name": "JAMES",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-11",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B936",
            "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 Mar 25, 2020; 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.