Back 2 Relief Vegas Inc

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

Legal business name

BACK 2 RELIEF VEGAS INC

Practice address

3455 E Lake Mead Blvd Ste 1
North Las Vegas, NV 89030-7328

Phone

(702) 642-1300

NPI assigned

Nov 28, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Rodolfo Martinez-Ferrate, MD

Title

Director

Phone

(801) 651-4283

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lashawna Henderson, D.C.

  • Chiropractor
  • North Las Vegas, NV
  • NPI 1639562036
  NPD (past)
• Breagan Madejek

  • Chiropractor
  • North Las Vegas, NV
  • NPI 1659799872
  NPD (past)

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

{
    "created_epoch": "1574899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574899200000",
    "number": "1831736693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 971532",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840971532",
            "telephone_number": "801-319-1120",
            "fax_number": "888-509-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 E LAKE MEAD BLVD STE 1",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307328",
            "telephone_number": "702-642-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK 2 RELIEF VEGAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-28",
        "last_updated": "2019-11-28",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ-FERRATE",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "801-651-4283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laquana Danielle Ayers
• Taniequah L Ayton
• Tyajaun Ayton
• Nabil Azizy
• Anne Raquel Bacani, APRN
• Rhonda Susan Backus, CPHT
• Lance T. Bacon, D.O.
• John Badger
• Marandia Badger
• Karla Badillo

• All providers in North Las Vegas, NV
• Rehabilitation Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2019; 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.