NPI 1073955753 · live from the CMS NPI Registry
Jordan Massey Anderson, DC
Chiropractor in Las Vegas, NV. National Provider Identifier 1073955753, active.
NPI record
| NPI | 1073955753 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 2425 N Lamb Blvd, Ste 100, Las Vegas, NV 89115 |
| Practice phone | 702-644-9155 |
| Mailing address | Po Box 36853, Las Vegas, NV 89133 |
| Enumerated | July 23, 2013 |
| Last updated | January 31, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | B01509 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.