KINGSBURY CHIROPRACTIC LLC (NPI# 1487025656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487025656 |
| Entity Type | Organization |
| Organization Name | KINGSBURY CHIROPRACTIC LLC |
| Practice Address |
276 Kingsbury Grade #1050 Stateline NV 89449-9804 |
| Mailing Address |
Po Box 2183 Stateline NV 89449-2183 |
| Practice Telephone | 7755807833 |
| Mailing Telephone | 7755807833 |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-23 |
| Authorized Official Name | DR. CHRISTOPHER PAVICH (DOCTOR) |
| Authorized Official Telephone | 7757814990 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | NV2015145727 | NV | Chiropractic Providers |
| Street Address |
276 KINGSBURY GRADE #1050 |
| City | STATELINE |
| State | NV |
| Zip Code | 89449-9804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023015153 | Justine Eloise Bradford | Chiropractor | 276 Kingsbury Grade, Ste 1050, Stateline, NV 89449-2246 | 2005-07-05 |
| 1851848956 | Kyle Machynia | Physician Assistant | 276 Kingsbury Grade, Suite 101, Stateline, NV 89449-9804 | 2016-09-06 |
| 1972918407 | Christopher Pavich | Chiropractor | 276 Kingsbury Grade, Stateline, NV 89449-9804 | 2014-06-23 |
| 1780856559 | Martin E. Salm, M.d., Ltd | Dermatology | 276 Kingsbury Grade, Suite 101, Stateline, NV 89449-5910 | 2008-04-01 |
| 1487822201 | Eyezone, Inc. | Optometrist | 276 Kingsbury Grade, Suite 103, Stateline, NV 89449-7170 | 2008-02-14 |
| 1699986778 | Steven L Kline Od A Professional Corporation | Optometrist | 276 Kingsbury Grade, Suite 103, Stateline, NV 89449-7170 | 2007-05-24 |
| 1750596276 | Dennis Doyle Bowman | Dentist | 276 Kingsbury Grade, Stateline, NV 89449 | 2007-05-10 |
| 1053532622 | Jeanne C Horton | Physician Assistant | 276 Kingsbury Grade, Suite 101, Stateline, NV 89449 | 2007-05-01 |
| 1790858850 | Nicole Helen Gordon | Dentist | 276 Kingsbury Grade, Stateline, NV 89449-9804 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194294975 | Allison Shima | Home Health | 795 Bigler Ct., Unit B, Stateline, NV 89449 | 2018-11-21 |
| 1093184459 | Amy Payne | Massage Therapist | 301 Highway 50, Stateline, NV 89449 | 2015-09-16 |
| 1871972091 | Tess Jansse | Physical Therapist | 15 Highway 50, Stateline, NV 89449 | 2015-05-20 |
| 1386067437 | Maureen Sullivan | Counselor | 37 Burke Creek Cir, Stateline, NV 89449 | 2014-01-27 |
| 1831401835 | Lucie Ann King | Social Worker | 191 Pine Drive, Stateline, NV 89449 | 2010-07-07 |
| 1134217375 | Sean M Degnan | Specialist | 165 Hwy 50, Suite 100, Stateline, NV 89449 | 2006-10-11 |
| 1124048962 | Richard Eldred Lusby | Dentist | 308 Dorla Court, Suite 202, Zephyr Cove, NV 89449 | 2006-07-21 |
| 1982675252 | Vitalcare Health Services Inc | Durable Medical Equipment & Medical Supplies | 170 Shady Lane, Stateline, NV 89449 | 2006-01-27 |
| 1124025069 | Paul Lance Marlowe | Family Medicine | 155 Hwy 50, Stateline, NV 89449 | 2005-07-07 |
| 1306333604 | Premise Health of Nevada Medical Hinitt P C | Non-Pharmacy Dispensing Site | 15 Highway 50, Stateline, NV 89449 | 2018-04-23 |
| Find all providers in zip 89449 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023015153 | Justine Eloise Bradford | Chiropractor | 276 Kingsbury Grade, Ste 1050, Stateline, NV 89449-2246 | 2005-07-05 |
| 1972918407 | Christopher Pavich | Chiropractor | 276 Kingsbury Grade, Stateline, NV 89449-9804 | 2014-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013516228 | Hernandez Chiropractic LLC. | Chiropractor | 2829 S Rainbow Blvd, Las Vegas, NV 89146-5166 | 2020-10-19 |
| 1457968786 | Skyler Campbell | Chiropractor | 5365 Mae Anne Ave Ste B2, Reno, NV 89523-1889 | 2020-09-30 |
| 1508475203 | Powerhouse Physical Therapy LLC | Chiropractor | 3050 E Bonanza Rd Ste 110d, Las Vegas, NV 89101-3706 | 2020-07-28 |
| 1205459518 | Brittni J Millar | Chiropractor | 2295 S Virginia St # 16-2, Reno, NV 89502-3423 | 2020-05-20 |
| 1316569197 | Kason Belnap | Chiropractor | 1450 W Horizon Ridge Pkwy Ste A501, Henderson, NV 89012-4478 | 2020-05-14 |
| 1154942050 | Luxiam Chiropractic LLC | Chiropractor | 230 W Plumb Ln, Reno, NV 89509-3748 | 2020-05-01 |
| 1598384026 | Anne-marie F Rouse | Chiropractor | 870 Steneri Way Ste 103, Sparks, NV 89431-6320 | 2020-04-14 |
| 1730716408 | Attivo Wellness LLC | Chiropractor | 1357 Dunford Ct, Henderson, NV 89012-4897 | 2020-03-24 |
| 1366077067 | Josephine N Stanton | Chiropractor | 8475 S Eastern Ave Ste 101, Las Vegas, NV 89123-2863 | 2020-03-03 |
| 1194356220 | Joshua Lawrence Sharpe | Chiropractor | 410 S Rampart Blvd Ste 340, Las Vegas, NV 89145-5730 | 2020-01-28 |
| 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.