CANYON CHIROPRACTIC CLINIC, INC (NPI# 1154591956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154591956 |
| Entity Type | Organization |
| Organization Name | CANYON CHIROPRACTIC CLINIC, INC |
| Practice Address |
2005 Sierra Highlands Dr Suite 147 Reno NV 89523-2303 |
| Mailing Address |
Po Box 34855 Reno NV 89533-4855 |
| Practice Telephone | 7757872225 |
| Practice Fax Number | 7757872282 |
| Mailing Telephone | 7757872225 |
| Mailing Fax Number | 7757872282 |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |
| Authorized Official Name | DR. BRADLEY KING MAHLER (PRESIDENT) |
| Authorized Official Telephone | 7757872225 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | B537 | NV | Chiropractic Providers |
| Street Address |
2005 SIERRA HIGHLANDS DR SUITE 147 |
| City | RENO |
| State | NV |
| Zip Code | 89523-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164408647 | Valerie Darlene Naai | Nurse Practitioner | 2005 Sierra Highlands Dr, Ste 101, Reno, NV 89523-2303 | 2005-12-16 |
| 1922123504 | Marc Corrao | Chiropractor | 2005 Sierra Highlands Dr, Suite 147, Reno, NV 89523-2303 | 2007-03-20 |
| 1326011297 | Ricardo Juan Gonzalez | Family Medicine | 2005 Sierra Highlands Dr, Ste 101, Reno, NV 89523-2301 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992351316 | Brian K. Iriye Md and Associates Ltd. | Obstetrics & Gynecology | 9780 S. Mccarran Blvd, #1, Reno, NV 89523 | 2019-08-12 |
| 1003323510 | Tate Health and Wellness, Pllc | Nurse Practitioner | 2005 Sierra Highlands Dr., Suite 101, Reno, NV 89523 | 2018-01-05 |
| 1952810194 | Michael Anacker | Occupational Therapist | 5410 Simons Drive, Reno, NV 89523 | 2017-09-20 |
| 1033570981 | Alison Butler | Speech-Language Pathologist | 7289 Heatherwood Dr., Reno, NV 89523 | 2016-03-18 |
| 1033586417 | Phoenix Providers | Preferred Provider Organization | 3844 Joy Ln, Reno, NV 89523 | 2015-09-01 |
| 1841637006 | Nicole Katherine Butler | Audiologist | 9770 S. Mccarren Blvd, Reno, NV 89523 | 2013-05-29 |
| 1477803922 | Laura Soukup | Speech-Language Pathologist | 5820 Lindsay Drive, Reno, NV 89523 | 2012-09-12 |
| 1578812939 | Jeanine Kay Johnson | Community Health Worker | 9195 Bay Meadows Dr., Reno, NV 89523 | 2012-08-31 |
| 1851626931 | Steven Koning | Optometrist | 9700 South Mccarran Blvd., Reno, NV 89523 | 2009-10-07 |
| 1306083712 | Medical Physics Services | General Acute Care Hospital | 2027 Thornbury Ct., Reno, NV 89523 | 2009-01-08 |
| Find all providers in zip 89523 | ||||
| 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 |
|---|---|---|---|---|
| 1457968786 | Skyler Campbell | Chiropractor | 5365 Mae Anne Ave Ste B2, Reno, NV 89523-1889 | 2020-09-30 |
| 1205459518 | Brittni J Millar | Chiropractor | 2295 S Virginia St # 16-2, Reno, NV 89502-3423 | 2020-05-20 |
| 1154942050 | Luxiam Chiropractic LLC | Chiropractor | 230 W Plumb Ln, Reno, NV 89509-3748 | 2020-05-01 |
| 1447893300 | Kaitlyn Sae Shikada | Chiropractor | 9476 Double R Blvd Ste A, Reno, NV 89521-2959 | 2019-10-23 |
| 1316597586 | Katherine Rose Stock | Chiropractor | 17000 Wedge Pkwy Unit 2123, Reno, NV 89511-3240 | 2019-09-18 |
| 1598310237 | Victoria Ann Mccoy | Chiropractor | 1201 Terminal Way Ste 107, Reno, NV 89502-3418 | 2019-08-08 |
| 1225694383 | Amy Erger | Chiropractor | 241 Ridge St Ste 101, Reno, NV 89501-2069 | 2019-05-14 |
| 1609334135 | Battle Born Chiropractic, LLC | Chiropractor | 6490 S Mccarran Blvd Bldg D1, Suite 28, Reno, NV 89509-6165 | 2019-03-04 |
| 1407320047 | Shain Nicolai Smith | Chiropractor | 3005 Ethelinda Way, Reno, NV 89521-4426 | 2019-01-16 |
| 1881172997 | Timothy Ian Moore IIi | Chiropractor | 5365 Mae Anne Ave Ste B10, Reno, NV 89523-1889 | 2018-07-31 |
| Find all providers in RENO | ||||
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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.