Individual provider Active NPI

Steven M Rudack, DC

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1992920409
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B211 Issued in NV
Practice address
8685 W Sahara Ave
Ste 180
Las Vegas, NV 89117-5877
Phone
(702) 362-0336
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B211 NV Primary

Addresses

Primary practice location

8685 W Sahara Ave
Ste 180
Las Vegas, NV 89117-5877

Mailing address

8685 W Sahara Ave
Ste 180
Las Vegas, NV 89117-5877
Phone (702) 362-0336

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150226002385 NV Practitioner - Chiropractic 2668486762 Practice locations: Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8685 W Sahara Ave
Las Vegas, NV 89117-5880
Phone (702) 362-0336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
B211NVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
James Lefever, DC, LTD Chiropractor Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1992920409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8685 W SAHARA AVE",
            "address_2": "STE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175877",
            "telephone_number": "702-362-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8685 W SAHARA AVE",
            "address_2": "STE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175877",
            "telephone_number": "702-362-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDACK",
        "first_name": "STEVEN",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B211",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.