Organization Active NPI

Procare Chiropractic

  • Independent Medical Examiner Chiropractor
  • Las Vegas, NV
National Provider Identifier
1962629279
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
B340 Issued in NV
Legal business name
PROCARE CHIROPRACTIC
Practice address
898 S Valley View Blvd
Las Vegas, NV 89107-4412
Phone
(702) 877-0707
Fax
(702) 877-5611
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Scott David Forbes, D.C.NPI 1912081233
Title
Chiropractic Physician
Phone
(702) 877-0707

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
Independent Medical Examiner ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NI0013X B340 NV Primary

Addresses

Primary practice location

898 S Valley View Blvd
Las Vegas, NV 89107-4412

Mailing address

898 S Valley View Blvd
Las Vegas, NV 89107-4412
Phone (702) 877-0707

Other identifiers 1

IdentifierTypeStateIssuer
3602108MedicaidNV

National Provider Directory

National Provider Directory

Locations

900 S Valley View Blvd
Ste 105
Las Vegas, NV 89107
Phone (702) 877-0707

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962629279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "898 S VALLEY VIEW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891074412",
            "telephone_number": "702-877-0707",
            "fax_number": "702-877-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "898 S VALLEY VIEW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891074412",
            "telephone_number": "702-877-0707",
            "fax_number": "702-877-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORBES",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "702-877-0707",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "NV",
            "license": "B340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3602108",
            "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 Aug 22, 2020; 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.