MEDICARE: NEVADA SPINE AND DISC

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	B00204	NV

General Provider Information

NPI Number	:	1922140557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEVADA SPINE AND DISC

Provider Business Mailing Address
First Line	:	1417 FOOTHILLS MILLS ST
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89012-4837
Country	:	US
Telephone Number	:	702-581-6388
Fax Number	:	702-616-7330

Provider Business Practice Location Address
First Line	:	8665 S EASTERN AVE
Second Line	:	SPACE 3
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2839
Country	:	US
Telephone Number	:	702-581-6388
Fax Number	:	702-616-7330

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. STUART MCINTYRE COCKS
Credential	:	D.C.
Telephone Number	:	702-581-6388

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	03/30/2009

Similar Medicare Providers

1811825888 — NORA AROS
Practice Location Address:

8685 S EASTERN AVE
LAS VEGAS, NV
89123-2839

Practice Phone: 702-754-0807
Practice Fax:

1346284189 — DR. TONIE VALESANO PHD, LCSW
Practice Location Address:

8685 S EASTERN AVE
LAS VEGAS, NV
89123-2839

Practice Phone: 702-754-0807
Practice Fax:

1346383296 — TONIE M. VALESANO, LCSW A PROFESSIONAL CORPORATION
Practice Location Address:

8685 S EASTERN AVE
LAS VEGAS, NV
89123-2839

Practice Phone: 702-754-0807
Practice Fax: 702-754-0808

1881819399 — DR. JARED LEE NORMAN D.C
Practice Location Address:

8665 S EASTERN AVE # 103
LAS VEGAS, NV
89123-2839

Practice Phone: 702-492-1776
Practice Fax: 702-947-6117

1396906582 — JEFFREY TUDLA MD
Practice Location Address:

8655 S EASTERN AVE
LAS VEGAS, NV
89123-2839

Practice Phone: 702-737-1880
Practice Fax: 702-737-5988

1407094691 — MRS. KIMBERLY DIANE SMITH LCSW INTERN
Practice Location Address:

8685 S EASTERN AVE
LAS VEGAS, NV
89123-2839

Practice Phone: 702-754-0807
Practice Fax: 702-754-0808

Directions to “NEVADA SPINE AND DISC ” 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.