ROGER M. PENNA


Address: 2670 Crimson Canyon Dr., Suite 150, Las Vegas, NV 89128
Phone: 7022323189

ROGER M. PENNA (NPI# 1306899489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306899489
Entity Type Individual
Full Name ROGER M. PENNA
Credential D.C.
Practice Address 2670 Crimson Canyon Dr.
Suite 150
Las Vegas
NV 89128
Practice Telephone 7022323189
Practice Fax Number 7022336713
Mailing Telephone 7022323189
Mailing Fax Number 7022336713
Enumeration Date 2006-05-18
Last Update Date 2012-11-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111NS0005X Chiropractor
Specialization: Sports Physician
B598 NV Chiropractic Providers

Office Location

Street Address 2670 CRIMSON CANYON DR.
SUITE 150
City LAS VEGAS
State NV
Zip Code 89128

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699374256 Dmc Medical Clinic Ltd Family Medicine 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 2020-10-23
1619589462 Eldercare Services Lv, LLC Technician 8430 W. Lake Mead Blvd Suite 100, Las Vegas, NV 89128 2020-08-21
1508477308 Amneris Lizet Duran-brocato Technician 1150 North Buffalo Dr. Apt 2120, Las Vegas, NV 89128 2020-08-14
1366082612 Ar Home Health Management LLC Home Health 7465 W Lake Mead Blvd Suite 100, Las Vegas, NV 89128 2020-01-14
1114563731 Leslie A Pasternack Acupuncturist Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 2019-11-19
1154977940 Devora Susana Leon-lopez Chore Provider 7320 Smoke Ranch Rd. Ste. H, Las Vegas, NV 89128 2019-08-16
1659924884 Blanca Estela Garnica-mendez Chore Provider 7320 Smoke Ranch Rd. Suite H, Suite H, Las Vegas, NV 89128 2019-07-17
1467913160 Sherwin Necunazar Azad Student in an Organized Health Care Education/Training Program Mountainview Hospital Gme, 3100 N. Tenaya Way, Las Vegas, NV 89128 2019-03-26
1962963801 Michael Richard Korczynski Student in an Organized Health Care Education/Training Program 3100 North Tenaya Way, Las Vegas, NV 89128 2019-03-25
1013477041 Yuanlong Zhao Student in an Organized Health Care Education/Training Program 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 2019-03-25
Find all providers in zip 89128

Taxonomy Information

Taxonomy Code 111NS0005X
Grouping Chiropractic Providers
Classification Chiropractor
Specialization Sports Physician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1760422372 Robert E. Braden Chiropractor 6300 Spring Mountain Rd., Suite #c, Las Vegas, NV 89146 2006-06-08
1467458067 David C Ketchum Chiropractor 2647 Box Canyon Dr, Las Vegas, NV 89128-0450 2005-06-28
1801160023 Ptcii Inc Chiropractor 9075 S Eastern Ave Ste 4, Las Vegas, NV 89123-4858 2012-03-06

Providers in the same taxonomy and state

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
1235145640 Darren L Mitchell Chiropractor 120 E John St, Carson City, NV 89706-3036 2006-07-31
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

Competitor

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City LAS VEGAS
Zip Code 89128

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Dataset Information

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.

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