Individual provider Active NPI

Vance F Whaley, DC

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1922080142
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B00956 Issued in NV
Practice address
9330 W Flamingo Rd Ste 112a
Las Vegas, NV 89147-6447
Phone
(702) 932-6100
Fax
(702) 932-6102
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B00956 NV Primary

Addresses

Primary practice location

9330 W Flamingo Rd Ste 112a
Las Vegas, NV 89147-6447

Mailing address

9330 W Flamingo Rd Ste 112a
Las Vegas, NV 89147-6447
Phone (702) 932-6100

Other identifiers 1

IdentifierTypeStateIssuer
100506102MedicaidNV

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

LicenseStateTypeSpecialty
B00956NVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vance Whaley Chiropractic LLC Chiropractor Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272844800000",
    "number": "1922080142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 W FLAMINGO RD STE 112A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476447",
            "telephone_number": "702-932-6100",
            "fax_number": "702-932-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 W FLAMINGO RD STE 112A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476447",
            "telephone_number": "702-932-6100",
            "fax_number": "702-932-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEY",
        "first_name": "VANCE",
        "middle_name": "F",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2010-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B00956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506102",
            "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 May 3, 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.

Verify at the official NPI Registry.