NPI 1679557359 · live from the CMS NPI Registry
Dale Allen Anderson, DC
Chiropractor in Las Vegas, NV. National Provider Identifier 1679557359, active.
NPI record
| NPI | 1679557359 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 2389 Renaissance Dr, Ste A, Las Vegas, NV 89119 |
| Practice phone | 702-458-1495 |
| Enumerated | December 6, 2005 |
| Last updated | January 21, 2009 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | B119 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.