Organization Active NPI

Stephanie J Youngblood DC LTD

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1871854802
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B-333 Issued in NV
Legal business name
STEPHANIE J YOUNGBLOOD DC LTD
Practice address
500 S Rancho Dr Ste E-9
Las Vegas, NV 89106-4844
Phone
(702) 870-8060
Fax
(702) 870-4844
NPI assigned
Jun 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Authorized official

Name
Dr. Stephanie J Youngblood, D.C.
Title
Owner
Phone
(702) 870-8060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X B-333 NV Primary

Addresses

Primary practice location

500 S Rancho Dr Ste E-9
Las Vegas, NV 89106-4844

Mailing address

500 S Rancho Dr Ste E-9
Las Vegas, NV 89106-4844
Phone (702) 870-8060

National Provider Directory

National Provider Directory

Locations

500 S Rancho Dr
Ste E9
Las Vegas, NV 89106
Phone (702) 870-8060

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1871854802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S RANCHO DR STE E-9",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064844",
            "telephone_number": "702-870-8060",
            "fax_number": "702-870-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S RANCHO DR STE E-9",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064844",
            "telephone_number": "702-870-8060",
            "fax_number": "702-870-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE J YOUNGBLOOD DC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "YOUNGBLOOD",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-870-8060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B-333",
            "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 6, 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.