Organization Active NPI

R Scott Ickes DC Inc

Doing business as Advantage Chiropractic

  • Chiropractor
  • Henderson, NV
National Provider Identifier
1912182866
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B725 Issued in NV
Legal business name
R SCOTT ICKES DC INC
Doing business as
Advantage Chiropractic
Practice address
55 S Valle Verde Dr Ste 450
Henderson, NV 89012-3110
Phone
(702) 614-9500
Fax
(702) 614-9505
NPI assigned
Jan 9, 2008
Last updated
Feb 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Richard Scott Ickes, DC
Title
President
Phone
(702) 614-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B725 NV Primary

Addresses

Primary practice location

55 S Valle Verde Dr Ste 450
Henderson, NV 89012-3110

Mailing address

55 S Valle Verde Dr Ste 450
Henderson, NV 89012-3110
Phone (702) 614-9500

Other names 1

  • Advantage Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

55 S Valle Verde Dr
Ste 450
Henderson, NV 89012
Phone (702) 614-9500

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1912182866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S VALLE VERDE DR STE 450",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890123110",
            "telephone_number": "702-614-9500",
            "fax_number": "702-614-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S VALLE VERDE DR STE 450",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890123110",
            "telephone_number": "702-614-9500",
            "fax_number": "702-614-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R SCOTT ICKES DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "ICKES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-614-9500",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantage Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.