DR. DALE ALLEN ANDERSON (NPI# 1679557359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679557359 |
| Entity Type | Individual |
| Full Name | DR. DALE ALLEN ANDERSON |
| Credential | DC |
| Practice Address |
2389 Renaissance Dr Ste A Las Vegas NV 89119-6106 |
| Practice Telephone | 7024581495 |
| Practice Fax Number | 7024587869 |
| Mailing Telephone | 7024581495 |
| Mailing Fax Number | 7024587869 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2009-01-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | B119 | NV | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | MEDICARE PTAN | VWJBJPO1 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093088254 | Dale Albert Anderson | Licensed Practical Nurse | 17095 52nd Ave, Chippewa Falls, WI 54729-7119 | 2012-02-20 |
| 1992985048 | Dale Stanley Anderson | Home Health | 1135 Cumberland St, Saint Paul, MN 55117-4850 | 2007-11-06 |
| 1861571911 | Dale Michael Anderson | Dentist | 137 W Schrock Rd, Westerville, OH 43081-2831 | 2006-11-02 |
| 1144321746 | Dale Johnson Anderson | Psychiatry & Neurology | 6365 Clayton Road, St Louis, MO 63117 | 2006-09-26 |
| 1477115301 | Dale Anderson | Licensed Practical Nurse | 3727 S Tacoma Way, Tacoma, WA 98409-3134 | 2019-07-01 |
| 1750779591 | Dale Anderson II | Nurse Anesthetist, Certified Registered | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2015-01-01 |
| 1104110220 | Dale Wayne Anderson | Pharmacist | 4160 Town Ctr, T-1861, Sherman, TX 75092-2567 | 2011-06-06 |
| 1124202965 | Dale R. Anderson | Counselor | 450 Meadow Run Dr, Hastings, MI 49058-9053 | 2007-12-27 |
| 1063614568 | Dale Robert Anderson | Psychiatry & Neurology | 157 Roosevelt Rd, Suite 300, Saint Cloud, MN 56301-5478 | 2007-06-05 |
| 1629296686 | Dale P Anderson | Internal Medicine | 2501 Buena Vista Dr Se, Provider Enrollment, Albuquerque, NM 87106-4260 | 2007-04-23 |
| Street Address |
2389 RENAISSANCE DR STE A |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-6106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831500883 | Noble Healthcare | Clinic/Center | 2389 Renaissance Dr, Suite A, Las Vegas, NV 89119-6106 | 2014-05-13 |
| 1922419969 | John Paul Moody IIi | Chiropractor | 2389 Renaissance Dr, Suite A, Las Vegas, NV 89119-6106 | 2014-05-13 |
| 1700025509 | Dale A Anderson D C Ltd | Chiropractor | 2389 Renaissance Dr, Suite A, Las Vegas, NV 89119-6106 | 2009-02-18 |
| 1316015878 | Naeun Chiropractic Health Center | Chiropractor | 2389 Renaissance Dr, Ste A, Las Vegas, NV 89119-6106 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
| 1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
| 1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
| 1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
| 1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
| 1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
| 1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
| 1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
| Find all providers in zip 89119 | ||||
| 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 |
|---|---|---|---|---|
| 1013516228 | Hernandez Chiropractic LLC. | Chiropractor | 2829 S Rainbow Blvd, Las Vegas, NV 89146-5166 | 2020-10-19 |
| 1508475203 | Powerhouse Physical Therapy LLC | Chiropractor | 3050 E Bonanza Rd Ste 110d, Las Vegas, NV 89101-3706 | 2020-07-28 |
| 1366077067 | Josephine N Stanton | Chiropractor | 8475 S Eastern Ave Ste 101, Las Vegas, NV 89123-2863 | 2020-03-03 |
| 1194356220 | Joshua Lawrence Sharpe | Chiropractor | 410 S Rampart Blvd Ste 340, Las Vegas, NV 89145-5730 | 2020-01-28 |
| 1104466713 | The Muscle, Joint & Spine Center, Inc. | Chiropractor | 9516 W Flamingo Rd Ste 125, Las Vegas, NV 89147-5748 | 2020-01-11 |
| 1831730894 | Daniel Stellavato | Chiropractor | 11014 Calcedonian St, Las Vegas, NV 89141-4328 | 2019-10-01 |
| 1184272601 | Andrea Watson | Chiropractor | 10420 S Decatur Blvd Ste 140, Las Vegas, NV 89141-8717 | 2019-08-28 |
| 1760940555 | Willie So | Chiropractor | 1263 E Silverado Ranch Blvd Ste 105a, Las Vegas, NV 89183-5946 | 2019-03-11 |
| 1861962052 | Light Brothers, LLC | Chiropractor | 10040 W Cheyenne Ave Ste 130, Las Vegas, NV 89129-7720 | 2018-11-29 |
| 1073099354 | Alignology, LLC | Chiropractor | 10470 W Cheyenne Ave Ste 115, Las Vegas, NV 89129-8733 | 2018-07-19 |
| Find all providers in LAS VEGAS | ||||
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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.