Active NPI
Andrei Razsadin, DC DOCTOR OF CHIROPR
- Chiropractor
- Las Vegas, NV
National Provider Identifier
1881708675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC26236
- Practice address
- 3376 S Eastern Ave
#160
Las Vegas, NV 89169-3380 - Phone
- (702) 369-5436
- Fax
- (702) 650-2404
- NPI assigned
- Aug 18, 2006
- Last updated
- Jun 25, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC26236 | CA | Primary |
| Chiropractor | 111N00000X | B-773 | NV |
Addresses
Primary practice location
3376 S Eastern Ave
#160
Las Vegas, NV 89169-3380
Mailing address
3376 S Eastern Ave
#160
Las Vegas, NV 89169-3380
Phone (702) 369-5436
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC26236 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC26236 | CA | MD | Chiropractor |
| B-773 | NV | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Health & Joint Rejuvenation Clinic, Inc | Current | Accepting new patients | |
| Lichtman Chiropractic Inc | Chiropractor | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Las Vegas, NV
- NPI 1245012731
-
- Chiropractor
- Solana Beach, CA
- NPI 1205943982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277424000000",
"number": "1881708675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3376 S EASTERN AVE",
"address_2": "#160",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891693380",
"telephone_number": "702-369-5436",
"fax_number": "702-650-2404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3376 S EASTERN AVE",
"address_2": "#160",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891693380",
"telephone_number": "702-369-5436",
"fax_number": "702-650-2404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAZSADIN",
"first_name": "ANDREI",
"credential": "DC DOCTOR OF CHIROPR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2010-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC26236",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NV",
"license": "B-773",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DC26236",
"state": "CA"
}
],
"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 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.