NPI 1922614007 · live from the CMS NPI Registry
John Beedle, DC
Chiropractor, Rehabilitation in Las Vegas, NV. National Provider Identifier 1922614007, active.
NPI record
| NPI | 1922614007 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor, Rehabilitation 111NR0400X |
| Practice location | 9525 Hillwood Dr Ste 100, Las Vegas, NV 89134 |
| Practice phone | 702-642-5446 |
| Enumerated | September 23, 2020 |
| Last updated | September 23, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor, Sports Physician | 111NS0005X | B01850 (NV) |
| Chiropractor | 111N00000X | B01850 (NV) |
| Chiropractor, Nutrition | 111NN1001X | B01850 (NV) |
| Chiropractor, Rehabilitation primary | 111NR0400X | B01850 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.