Sam Dominic Colarusso, D.C.

Primary specialty

Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X

License

B610 Issued in NV

Practice address

7220 S Cimarron Rd Ste 150
Las Vegas, NV 89113-2170

Phone

(702) 944-2225

Fax

(702) 655-2346

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

Locations

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

• Jaime Diorio-Phillips, PLLC

  • Chiropractor
  • Las Vegas, NV
  • NPI 1790363927
  NPD
• Joseph R Nicola DC PC

  • Independent Medical Examiner Chiropractor
  • Las Vegas, NV
  • NPI 1538578505

  Independent Medical Examiner

  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992867287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7380 W SAHARA AVE",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172760",
            "telephone_number": "702-252-7246",
            "fax_number": "702-251-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 S CIMARRON RD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132170",
            "telephone_number": "702-944-2225",
            "fax_number": "702-655-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLARUSSO",
        "first_name": "SAM",
        "middle_name": "DOMINIC",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "NV",
            "license": "B610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Riene Encabo Colanggo, FNP-C
• David Joseph Colangione, MD
• Devin Renea Colar
• Justin Colarco, DPM
• Colarusso and Nozawa LTD
• Tady M Colas Quesada
• Angela Colbert
• Angelique Colbert
• Camryn Danielle Colbert
• Chanelle Halle Colbert

• All providers in Las Vegas, NV
• Independent Medical Examiner Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.