Healthcare Provider Details

I. General information

NPI: 1578767364
Provider Name (Legal Business Name): JAMES THOMAS OVERLAND SR. D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 E LAKE MEAD BLVD STE 10
NORTH LAS VEGAS NV
89030-6512
US

IV. Provider business mailing address

2700 E LAKE MEAD BLVD STE 10
NORTH LAS VEGAS NV
89030-6512
US

V. Phone/Fax

Practice location:
  • Phone: 702-399-6655
  • Fax: 702-399-6671
Mailing address:
  • Phone: 702-642-2440
  • Fax: 702-642-2448

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberB-527
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License NumberB-527
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License NumberB-527
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: