Nevada Spine and Disc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

B00204 Issued in NV

Legal business name

NEVADA SPINE AND DISC

Practice address

8665 S Eastern Ave
Space 3
Las Vegas, NV 89123-2839

Phone

(702) 581-6388

Fax

(702) 616-7330

NPI assigned

Feb 12, 2007

Last updated

Mar 30, 2009By 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. Stuart McIntyre Cocks, D.C.

Title

President

Phone

(702) 581-6388

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 2

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.

• Emileanne Ence, APRN

  • Family Nurse Practitioner
  • North Las Vegas, NV
  • NPI 1831765486
  Medicare reassignment Care Compare group NPD
• Jared Lee Norman, D.C

  • Chiropractor
  • Las Vegas, NV
  • NPI 1881819399
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1922140557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 FOOTHILLS MILLS ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890124837",
            "telephone_number": "702-581-6388",
            "fax_number": "702-616-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8665 S EASTERN AVE",
            "address_2": "SPACE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232839",
            "telephone_number": "702-581-6388",
            "fax_number": "702-616-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA SPINE AND DISC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "COCKS",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "MCINTYRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-581-6388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B00204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nevada Skin Institute PLLC
• Nevada Sleep and Airway, Patterson & Associates, PLLC (Sleep and Airway Medicine Centers)
• Nevada Sleep Diagnostics, Inc.
• Nevada Sleep Diagnostics, Inc.
• Nevada Specialty Pharmacy
• Nevada Sports and Spine
• Nevada Stat Laboratory
• Nevada State Behavioral Health Services L.L.C.
• Nevada State Family Clinic, LLC
• Nevada State Family Services LLC

• 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 Mar 30, 2009; 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.