MEDICARE: MATTHEW K. MORTENSEN D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	B00474	NV

General Provider Information

NPI Number	:	1558419705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW K. MORTENSEN D.C.

Provider Business Mailing Address
First Line	:	8576 W LAKE MEAD BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-7630
Country	:	US
Telephone Number	:	702-255-3003
Fax Number	:	702-255-8133

Provider Business Practice Location Address
First Line	:	8576 W LAKE MEAD BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-7630
Country	:	US
Telephone Number	:	702-255-3003
Fax Number	:	702-255-8133

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2007
Last Update Date	:	07/09/2007

Similar Medicare Providers

1255541330 — DR. SCOTT PAUL GILLESPIE D.C.
Practice Location Address:

8576 W LAKE MEAD BLVD
LAS VEGAS, NV
89128-7630

Practice Phone: 702-255-3003
Practice Fax:

1487845996 — DIVINE MOBILITY & COMFORT, INC
Practice Location Address:

8574 W LAKE MEAD BLVD
LAS VEGAS, NV
89128-7630

Practice Phone: 702-360-3787
Practice Fax: 702-433-3787

1487830154 — MATTHEW K MORTENSEN DC LTD
Practice Location Address:

8576 W LAKE MEAD BLVD
LAS VEGAS, NV
89128-7630

Practice Phone: 702-255-3003
Practice Fax: 702-255-8133

1649401191 — ANIL PATEL MEDICAL REHABILITATION PC
Practice Location Address:

8576 W LAKE MEAD BLVD
LAS VEGAS, NV
89128-7630

Practice Phone: 702-255-3003
Practice Fax: 702-255-8133

1013495167 — ALEXIS MICHELLE SMELLEY
Practice Location Address:

7630 CHANTILLY ISLAND CT
LAS VEGAS, NV
89123-1490

Practice Phone: 804-909-1390
Practice Fax:

1881300978 — LESLEY J CARIAS-BONILLA
Practice Location Address:

7630 RIVA RIDGE ST
LAS VEGAS, NV
89149-1607

Practice Phone: 775-997-5831
Practice Fax:

Directions to “ MATTHEW K. MORTENSEN D.C.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.