Organization Active NPI

Decatur & Craig Chiropractic

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1831369933
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B519 Issued in NV
Legal business name
DECATUR & CRAIG CHIROPRACTIC
Practice address
4925 W Craig Rd
Las Vegas, NV 89130-2730
Phone
(702) 656-7460
Fax
(702) 656-7461
NPI assigned
Mar 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2012

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

Authorized official

Name
Dr. Ricke W Hallgren, DC
Title
Doctor/Owner
Phone
(702) 656-7460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X B519 NV Primary

Addresses

Primary practice location

4925 W Craig Rd
Las Vegas, NV 89130-2730

Mailing address

4925 W Craig Rd
Las Vegas, NV 89130-2730
Phone (702) 656-7460

Other identifiers 1

IdentifierTypeStateIssuer
1093704421OtherNVNPI INDIVIDUAL

National Provider Directory

National Provider Directory

Locations

4925 W Craig Rd
Las Vegas, NV 89130
Phone (702) 334-1183

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1831369933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 W CRAIG RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302730",
            "telephone_number": "702-656-7460",
            "fax_number": "702-656-7461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 W CRAIG RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302730",
            "telephone_number": "702-656-7460",
            "fax_number": "702-656-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR & CRAIG CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "HALLGREN",
        "authorized_official_first_name": "RICKE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "702-656-7460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1093704421",
            "state": "NV"
        }
    ],
    "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 May 7, 2012; 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.