NPIMap

Organization Active NPI

Golan Integrated Physical Medicine

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1871893016
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B00949 Issued in NV
Legal business name
GOLAN INTEGRATED PHYSICAL MEDICINE
Doing business as
Advanced Spine and Posture
Practice address
6592 N. Decatur Blvd
Suite # 115
Las Vegas, NV 89131-1038
Phone
(702) 396-4993
Fax
(702) 636-4990
NPI assigned
Oct 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Authorized official

Name
Jason O Jaeger, D.C.
Title
Owner
Phone
(702) 396-4993

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X B00949 NV Primary
Nutrition ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN1001X B00949 NV
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X B00949 NV

Addresses

Primary practice location

6592 N. Decatur Blvd
Suite # 115
Las Vegas, NV 89131-1038

Mailing address

PO Box 561564
Denver, CO 80256-1564
Phone (702) 202-1850

Other names 1

  • Advanced Spine and Posture Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Golan Integrated Physical Medicine4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1871893016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561564",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802561564",
            "telephone_number": "702-202-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6592 N. DECATUR BLVD",
            "address_2": "SUITE # 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891311038",
            "telephone_number": "702-396-4993",
            "fax_number": "702-636-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLAN INTEGRATED PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "JAEGER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-396-4993",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B00949",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "NV",
            "license": "B00949",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NV",
            "license": "B00949",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Spine and Posture",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Spine and Posture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 25, 2022; 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.