BREAGAN M MADEJEK D C, PLLC


Address: 1212 Casino Center Drive, Las Vegas, NV 89104
Phone: 9899719700

BREAGAN M MADEJEK D C, PLLC (NPI# 1376080093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376080093
Entity Type Organization
Organization Name BREAGAN M MADEJEK D C, PLLC
Other Organization Name SOUTHERN NEVADA MUA
Practice Address 1212 Casino Center Drive
Las Vegas
NV 89104
Mailing Address Po Box 563
Las Vegas
NV 89125-0563
Practice Telephone 9899719700
Mailing Telephone 9899719700
Enumeration Date 2017-01-20
Last Update Date 2017-01-20
Authorized Official Name DR. BREAGAN MARIE MADEJEK (OWNER/CHIROPRACTOR)
Authorized Official Telephone 9899719700
Authorized Official Credential D.C.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center B01531 NV Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Southern Nevada MUA Doing Business As Name - Organization

Office Location

Street Address 1212 CASINO CENTER DRIVE
City LAS VEGAS
State NV
Zip Code 89104

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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1659846699 Jgbb LLC Clinic/Center 801 S Rancho Dr Ste D1-b, Las Vegas, NV 89106-3854 2018-10-05
1790272524 Las Vegas Sleep Center ( Shamiya) Pllc Clinic/Center 2400 S Cimarron Rd, Suite 130, Las Vegas, NV 89117 2018-04-17
1750886784 Aeva Clinic LLC Clinic/Center 4641 Blue Diamond Rd Ste 120a, Las Vegas, NV 89139-7610 2018-03-30
1275034621 Faber IIi, Ltd. Clinic/Center 8811 W Sahara Ave Ste 200, Las Vegas, NV 89117-4813 2018-02-21
1710406467 Anoush H. Tacvorian Do LLC Clinic/Center 6525 W. Warm Springs Rd, Suite 100, Las Vegas, NV 89118 2017-09-13
1750809869 Buffalo Chiropractic LLC Clinic/Center 6420 Spring Mountain Rd Ste 18, Las Vegas, NV 89146-8835 2017-09-08
1376084467 Valley Medical Associates Clinic/Center 8655 S Eastern Ave Ste 101, Las Vegas, NV 89123-2839 2017-03-09
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City LAS VEGAS
Zip Code 89104

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Dataset Information

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.

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