MEDICARE: DR. JONATHAN WILLIAM WISE 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	B01251	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	B01251	OTHER	NV	NEVADA CHIROPRACTIC LICEN

General Provider Information

NPI Number	:	1558562637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JONATHAN WILLIAM WISE D.C.

Provider Business Mailing Address
First Line	:	5875 S RAINBOW BLVD STE 201
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-2556
Country	:	US
Telephone Number	:	702-248-6292
Fax Number	:	702-643-6292

Provider Business Practice Location Address
First Line	:	5875 S RAINBOW BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-2554
Country	:	US
Telephone Number	:	702-248-6292
Fax Number	:	702-643-6292

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

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	03/18/2009

Similar Medicare Providers

1497996292 — KIAN KAVEH D.O INC
Practice Location Address:

5875 S RAINBOW BLVD , SUITE 203
LAS VEGAS, NV
89118-2554

Practice Phone: 702-804-0211
Practice Fax: 702-853-4215

1750680377 — DYLENA PIERCE
Practice Location Address:

1805 GOLDEN VISTA DR
LAS VEGAS, NV
89123-2554

Practice Phone: 702-612-8144
Practice Fax:

1912844333 — LACRETIA A MCVEY RN
Practice Location Address:

5888 W SUNSET RD STE 103
LAS VEGAS, NV
89118-3453

Practice Phone: 702-382-3030
Practice Fax:

1053248393 — KYLIE NICOLE TAN BSN, RN
Practice Location Address:

7287 SUMMIT LAKE CT
LAS VEGAS, NV
89118-2434

Practice Phone: 725-500-3040
Practice Fax:

1851394373 — DENISE ANN DAVIS M.D.
Practice Location Address:

5380 S RAINBOW BLVD STE 120
LAS VEGAS, NV
89118-1878

Practice Phone: 702-463-4040
Practice Fax:

1801893029 — KATRINA NIKOLE HASLETT MD
Practice Location Address:

5320 S RAINBOW BLVD STE 282
LAS VEGAS, NV
89118-1896

Practice Phone: 702-243-0202
Practice Fax: 702-262-9330

Directions to “ DR. JONATHAN WILLIAM WISE 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.