Autumn L Monteiro, DC a Professional Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

B01328 Issued in NV

Legal business name

AUTUMN L MONTEIRO, DC A PROFESSIONAL CORPORATION

Doing business as

Back On Track Upper Cervical Care

Practice address

6090 S Fort Apache Rd
#100
Las Vegas, NV 89148-5658

Phone

(702) 834-5777

Fax

(702) 442-0755

NPI assigned

Nov 20, 2012

Last updated

Nov 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Autumn L Monteiro, D.C.NPI 1508092958

Title

President

Phone

(702) 834-5777

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Back On Track Upper Cervical Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Autumn Lynn Monteiro, D.C.

  • Chiropractor
  • Las Vegas, NV
  • NPI 1508092958
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1881938413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6090 S FORT APACHE RD",
            "address_2": "#100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485658",
            "telephone_number": "702-834-5777",
            "fax_number": "702-442-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6090 S FORT APACHE RD",
            "address_2": "#100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485658",
            "telephone_number": "702-834-5777",
            "fax_number": "702-442-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN L MONTEIRO, DC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "MONTEIRO",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-834-5777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1508092958",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back On Track Upper Cervical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Shiow Joan Auyang
• Kayla Nalani Auyong
• Joseph Auzenne
• Av Diagnostic Corporation (AV Diagnostic)

• Chiropractor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.