DR. JOB KRUGLY (NPI# 1114245131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114245131 |
| Entity Type | Individual |
| Full Name | DR. JOB KRUGLY |
| Credential | D.C. |
| Practice Address |
2790 W Horizon Ridge Pkwy Ste 110 Henderson NV 89052-3997 |
| Practice Telephone | (702) 410-5354 |
| Mailing Telephone | (702) 410-5354 |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | B01360 | NV | Chiropractic Providers |
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
5801 | NV | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9730 Del Mar Heights St, Las Vegas, NV 891837240 | 7028138891 |
| Street Address |
2790 W HORIZON RIDGE PKWY STE 110 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-3997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588120554 | Agape Sports & Family Chiropractic LLC | Chiropractor | 2790 W Horizon Ridge Pkwy Ste 110, Henderson, NV 89052-3997 | 2019-02-14 |
| 1235632878 | Thomas Godfrey | Chiropractor | 2790 W Horizon Ridge Pkwy Ste 110, Henderson, NV 89052-3997 | 2018-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588120554 | Agape Sports & Family Chiropractic LLC | Chiropractor | 2790 W Horizon Ridge Pkwy Ste 110, Henderson, NV 89052-3997 | 2019-02-14 |
| 1053754630 | Las Vegas Pain Relief Centers(russo),pc | Chiropractor | 58 N Pecos Rd, Henderson, NV 89074-7319 | 2013-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134751282 | Kyle Hemsley | Chiropractor | 650 S Rock Blvd, Reno, NV 89502-4141 | 2020-02-06 |
| 1053896134 | Robert Martinez Professional Chiropractic Corp | Chiropractor | 2891 Hot Springs Rd, Minden, NV 89423-7825 | 2018-09-25 |
| 1164867818 | Jeffrey B Willes D C Inc | Chiropractor | 664 14th St E, Ely, NV 89301-2569 | 2013-05-08 |
| 1912051483 | Roberto Ostolaza | Chiropractor | 3620 E Flamingo Rd, Suite 7 & 8, Las Vegas, NV 89121-4935 | 2007-01-22 |
| 1437220118 | Dennis Dale Dumler | Chiropractor | 9075 S Eastern Ave Ste 4, Las Vegas, NV 89123 | 2006-11-13 |
| 1407967532 | Kipling Gayle Hansen | Chiropractor | 6212 W Charleston Blvd, Suite 100, Las Vegas, NV 89146-1163 | 2006-08-31 |
| 1235145640 | Darren L Mitchell | Chiropractor | 120 E John St, Carson City, NV 89706-3036 | 2006-07-31 |
| 1760422372 | Robert E. Braden | Chiropractor | 6300 Spring Mountain Rd., Suite #c, Las Vegas, NV 89146 | 2006-06-08 |
| 1306899489 | Roger M. Penna | Chiropractor | 2670 Crimson Canyon Dr., Suite 150, Las Vegas, NV 89128 | 2006-05-18 |
| 1467458067 | David C Ketchum | Chiropractor | 2647 Box Canyon Dr, Las Vegas, NV 89128-0450 | 2005-06-28 |
| Find all providers with the same taxonomy | ||||
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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.