NPIMap

Organization Active NPI

Canowa Sub 1

Doing business as Schleusner Chiropractic Center

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1962406686
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B79 Issued in NV
Legal business name
CANOWA SUB 1
Doing business as
Schleusner Chiropractic Center
Practice address
2091 E Sahara Ave
Las Vegas, NV 89104-3829
Phone
(702) 732-4044
Fax
(702) 732-8396
NPI assigned
Jun 9, 2005
Last updated
Mar 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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

Authorized official

Name
Dr. Larry P. Schleusner, D.C.NPI 1053443671
Title
Owner
Phone
(702) 732-4044

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
Chiropractor 111N00000X B79 NV Primary

Addresses

Primary practice location

2091 E Sahara Ave
Las Vegas, NV 89104-3829

Mailing address

2091 E Sahara Ave
Las Vegas, NV 89104-3829
Phone (702) 732-4044

Other identifiers 1

IdentifierTypeStateIssuer
V106920OtherNVMEDICARE PTAN

Other names 1

  • Schleusner Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140206001295 NV Part B Supplier - Clinic/Group Practice 7911136254 Receives reassigned benefits from 3 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

2091 E Sahara Ave
Las Vegas, NV 89104
Phone (702) 732-4044

Practitioners & affiliated clinicians

Practitioners 5

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": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1962406686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2091 E SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043829",
            "telephone_number": "702-732-4044",
            "fax_number": "702-732-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2091 E SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043829",
            "telephone_number": "702-732-4044",
            "fax_number": "702-732-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANOWA SUB 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "SCHLEUSNER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-732-4044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B79",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "V106920",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schleusner Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 7, 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.