Bret R Staley Chiropractic LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

B506 Issued in NV

Legal business name

BRET R STALEY CHIROPRACTIC LTD

Doing business as

Moapa Valley Chiropractic

Practice address

1170 N Moapa Valley Blvd
Ste C
Overton, NV 89040-1350

Phone

(702) 397-2273

Fax

(702) 397-2705

NPI assigned

Jan 26, 2007

Last updated

Mar 6, 2008By 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

Bret R Staley, DCNPI 1205005030

Title

Pres Sec Treas

Phone

(702) 397-2273

Specialties & licenses 1

Addresses

Other names 1

• Moapa Valley Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

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.

• Bret R Staley, DC

  • Chiropractor
  • Overton, NV
  • NPI 1205005030
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1992851489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1350",
            "city": "OVERTON",
            "state": "NV",
            "postal_code": "890401350",
            "telephone_number": "702-397-2273",
            "fax_number": "702-397-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 N MOAPA VALLEY BLVD",
            "address_2": "STE C",
            "city": "OVERTON",
            "state": "NV",
            "postal_code": "890401350",
            "telephone_number": "702-397-2273",
            "fax_number": "702-397-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRET R STALEY CHIROPRACTIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "STALEY",
        "authorized_official_first_name": "BRET",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRES SEC TREAS",
        "authorized_official_telephone_number": "702-397-2273",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moapa Valley Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Payden Blake Anderson, DMD
• Todd J Askeroth, DC
• Kent Jay Bennion, O.D.
• Terry Buhecker
• Adam Crawford, LCSW
• Robert J. Grow, MPT
• Randall L Jensen, OD
• Timothy Johnson, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.