DR. DOUGLAS B HERMANSEN (NPI# 1891850459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891850459 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS B HERMANSEN |
| Credential | DC |
| Practice Address |
3551 E Bonanza Rd #108 Las Vegas NV 89110-2198 |
| Practice Telephone | 7024370800 |
| Practice Fax Number | 7024377857 |
| Mailing Telephone | 7024370800 |
| Mailing Fax Number | 7024377857 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2009-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | B498 295368-1202 | NV | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | B498 | NV | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI GROUP # | 1497873475 | 01 | |
| MEDICARE GROUP # | V100640 | 01 | |
| NV | NPI # | 1891850459 | 01 |
| NV | MEDICAID GROUP # | 100509349 | 01 |
| Street Address |
3551 E BONANZA RD #108 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89110-2198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194120865 | Sharlene Long | Counselor | 3551 E Bonanza Rd, Suite 101, Las Vegas, NV 89110-0055 | 2014-10-23 |
| 1316352511 | Michael Hortin | Chiropractor | 3551 E Bonanza Rd, Suite 108, Las Vegas, NV 89110-0055 | 2014-06-25 |
| 1295147205 | Jennifer Mitzel | Social Worker | 3551 E Bonanza Rd, 101, Las Vegas, NV 89110-0055 | 2014-05-24 |
| 1689919771 | Tyreek E Jarman | Rehabilitation Practitioner | 3551 E Bonanza Rd, Suite 101, Las Vegas, NV 89110-2198 | 2012-11-30 |
| 1629219514 | Ferdowsian Global Services Pllc | Clinic/Center | 3551 E Bonanza Rd, Suite 107, Las Vegas, NV 89110-2198 | 2009-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932740792 | Egalitarian Nevada LLC | Community/Behavioral Health | 241 North Nellis Boulevard, Suite 103, Las Vegas, NV 89110 | 2019-10-03 |
| 1730698333 | Antoinette Garrett | Rehabilitation Practitioner | 3085 S. Jones Boulevard Ste D., Las Vegas, NV 89110 | 2017-09-26 |
| 1063883486 | Chanfay Michelle Dabney | Adult Companion | 609 Sponseller, Las Vegas, NV 89110 | 2015-10-12 |
| 1689097735 | Lynda C Mccloskey | Registered Nurse | 330 South Valley View, Las Vegas, NV 89110 | 2014-01-27 |
| 1679994487 | Maria Arias De Lujan | Registered Nurse | 570 N Nellis Blvd Suite D1, Las Vegas, NV 89110 | 2013-12-20 |
| 1932520988 | Satoko Brilis | Registered Nurse | 570 N. Nellis Blvd., Suite D-1, Las Vegas, NV 89110 | 2013-12-18 |
| 1245651231 | Loriza Chongtai | Registered Nurse | 570 N.nellis Blvd Suite D1, Las Vegas, NV 89110 | 2013-12-18 |
| 1255752242 | Marites Navarro | Registered Nurse | 570 N. Nellis Blvd Suite D1, Las Vegas, NV 89110 | 2013-12-18 |
| 1770904781 | Karen M Atkins | Registered Nurse | 570 N. Nellis Blvd, Suite D1, Las Vegas, NV 89110 | 2013-12-17 |
| 1780020016 | Emma Jean Watson | Counselor | 3750 East Bonanza Rd Unit 155, Las Vegas, NV 89110 | 2013-05-14 |
| Find all providers in zip 89110 | ||||
| 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.