Organization Active NPI

Summit Chiropractic LLC

  • Chiropractor
  • Reno, NV
National Provider Identifier
1922417393
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B01549 Issued in NV
Legal business name
SUMMIT CHIROPRACTIC LLC
Practice address
9333 Double R Blvd Ste 1600
Reno, NV 89521-4897
Phone
(775) 971-8244
NPI assigned
Aug 10, 2014
Last updated
Dec 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Authorized official

Name
Dr. Adam Lee Ingles, D.C.NPI 1881773851
Title
Owner
Phone
(775) 971-8244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X B01549 NV Primary

Addresses

Primary practice location

9333 Double R Blvd Ste 1600
Reno, NV 89521-4897

Mailing address

9333 Double R Blvd Ste 1600
Reno, NV 89521-4897
Phone (775) 971-8244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141001002755 NV Part B Supplier - Clinic/Group Practice 1254551815 Receives reassigned benefits from 1 practitioner
Practice locations: Reno, NV

National Provider Directory

National Provider Directory

Locations

9333 Double R Blvd
Ste 1600
Reno, NV 89521
Phone (530) 713-3334

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": "1407628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1922417393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9333 DOUBLE R BLVD STE 1600",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895214897",
            "telephone_number": "775-971-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 DOUBLE R BLVD STE 1600",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895214897",
            "telephone_number": "775-971-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-10",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "INGLES",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-971-8244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.