LIFECLINIC CHIROPRACTIC OF NEVADA LLC (NPI# 1083955546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083955546 |
| Entity Type | Organization |
| Organization Name | LIFECLINIC CHIROPRACTIC OF NEVADA LLC |
| Practice Address |
121 Carnegie St Henderson NV 89074-7118 |
| Mailing Address |
Po Box 549 Chanhassen MN 55317-0549 |
| Practice Telephone | 9522297558 |
| Mailing Telephone | 9522297558 |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2015-09-30 |
| Authorized Official Name | REZA ALIZADEH (OWNER) |
| Authorized Official Telephone | 6516900866 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 03221 | MN | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861735755 | Lifeclinic Chiropractic of Nevada LLC | Chiropractor | 121 Carnegie Street, Henderson, NV 89052-7118 | 2013-03-29 |
| Street Address |
121 CARNEGIE ST |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-7118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306355318 | Green Valley Proactive Ritter Md PC | Clinic/Center | 121 Carnegie St, Henderson, NV 89074-7118 | 2017-09-21 |
| 1982061750 | Lt Proactive Care Clinic Nevada - Farbakhsh Pllc | Dietitian, Registered | 121 Carnegie St, Henderson, NV 89074-7118 | 2016-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569197 | Kason Belnap | Chiropractor | 1450 W Horizon Ridge Pkwy Ste A501, Henderson, NV 89012-4478 | 2020-05-14 |
| 1730716408 | Attivo Wellness LLC | Chiropractor | 1357 Dunford Ct, Henderson, NV 89012-4897 | 2020-03-24 |
| 1013564012 | Moody Chiropractic LLC | Chiropractor | 2654 W Horizon Ridge Pkwy Ste B1, Henderson, NV 89052-2863 | 2019-08-23 |
| 1760949358 | Brian Lee Day | Chiropractor | 1489 W Warm Springs Rd Ste 125, Henderson, NV 89014-7637 | 2019-03-01 |
| 1477026243 | Golan Integrated Physical Medicine, P.C. | Chiropractor | 321 N Pecos Rd Ste 200, Henderson, NV 89074-1348 | 2019-01-04 |
| 1730604760 | Kyle Buth | Chiropractor | 10909 S Eastern Ave, Henderson, NV 89052-5864 | 2017-08-10 |
| 1588035760 | Kelsie M Buth | Chiropractor | 8935 S Pecos Rd Ste 21b, Henderson, NV 89074-7155 | 2015-10-13 |
| 1922429430 | Kretz Chiropractic LLC | Chiropractor | 936 N Main, Henderson, NE 68371 | 2013-12-31 |
| 1467880963 | On The River Chiropractic Psc | Chiropractor | 2869 Us Highway 41 N, Henderson, KY 42420-2048 | 2013-10-18 |
| 1861735755 | Lifeclinic Chiropractic of Nevada LLC | Chiropractor | 121 Carnegie Street, Henderson, NV 89052-7118 | 2013-03-29 |
| Find all providers in HENDERSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.