Active NPI
Keith Leonard Quisberg, D.C.
- Chiropractor
- Las Vegas, NV
National Provider Identifier
1881778199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- B0993
- Practice address
- 6441 N Durango Dr Ste 130
Las Vegas, NV 89149-4588 - Phone
- (702) 538-9100
- Fax
- (702) 478-6013
- NPI assigned
- Oct 24, 2006
- Last updated
- Aug 5, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | B0993 | NV | Primary |
Addresses
Primary practice location
6441 N Durango Dr Ste 130
Las Vegas, NV 89149-4588
Mailing address
6441 N Durango Dr Ste 130
Las Vegas, NV 89149-4588
Phone (702) 538-9100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156422 | Other | NV | SUMMERLIN HEALTH & LIFE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B0993 | NV | MD | Chiropractor |
| 4915 | NV | MD | General Practice Dentistry |
| 4915 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alternative Health & Nutrition | Chiropractor | Past | Accepting new patients |
| Align Chiropractic | Chiropractor | Past | Accepting new patients |
| Align Chiropractic LLC | Chiropractor | Past | Accepting new patients |
| Ace Chiropractic Nevada LTD | Chiropractor | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Chiropractor
- Las Vegas, NV
- NPI 1245467927
-
- Chiropractor
- Las Vegas, NV
- NPI 1598995078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375660800000",
"number": "1881778199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6441 N DURANGO DR STE 130",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891494588",
"telephone_number": "702-538-9100",
"fax_number": "702-478-6013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6441 N DURANGO DR STE 130",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891494588",
"telephone_number": "702-538-9100",
"fax_number": "702-478-6013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUISBERG",
"first_name": "KEITH",
"middle_name": "LEONARD",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2013-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NV",
"license": "B0993",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUMMERLIN HEALTH & LIFE",
"identifier": "156422",
"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 Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.