Christopher Pavich, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

B01552 Issued in NV

Practice address

276 Kingsbury Grade
Stateline, NV 89449-9804

Phone

(775) 825-0608

Fax

(775) 825-0606

NPI assigned

Jun 23, 2014

Last updated

Apr 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

• Kingsbury Chiropractic LLC

  • Chiropractor
  • Stateline, NV
  • NPI 1487025656
  Authorized official Same address or phone

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1972918407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 KINGSBURY GRADE",
            "address_2": "BOX 2183",
            "city": "ZEPHYR COVE",
            "state": "NV",
            "postal_code": "894493686",
            "telephone_number": "775-580-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 KINGSBURY GRADE",
            "city": "STATELINE",
            "state": "NV",
            "postal_code": "894499804",
            "telephone_number": "775-825-0608",
            "fax_number": "775-825-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVICH",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Health Labs, Inc
• Nicole H Buell DDS
• Lara Lynette Niemann, OTR, ATP
• Optometric Care of Nevada, PC (Eye Zone - Tahoe)
• Orion Healthcorp
• Amy Payne, LMT, CMT, BCTMB
• Marni Perschnick
• Premise Health of Nevada Medical Hinitt P C (Caesars Lake Tahoe Health & Wellness Center)
• Premise Health of Nevada Medical Hinitt P C (Caesar's Lake Tahoe Health & Wellness Center)
• Tracy Regina Protell, M.D.

• Chiropractor in Stateline, NV
• Providers in Stateline, NV by specialty
• Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.