MEDICARE: MOUNTAIN WEST CHIROPRACTIC, LLC

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	B458	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1730390964	OTHER	NV	DR. ERIC J HOMA

General Provider Information

NPI Number	:	1427009042
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOUNTAIN WEST CHIROPRACTIC, LLC

Provider Business Mailing Address
First Line	:	9030 W SAHARA AVE
Second Line	:	SUITE 1290
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-5744
Country	:	US
Telephone Number	:	702-256-8686
Fax Number	:	702-256-2206

Provider Business Practice Location Address
First Line	:	9034 W SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-5744
Country	:	US
Telephone Number	:	702-256-8686
Fax Number	:	702-256-2206

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	DR. ALBERT G SIMONCELLI
Credential	:	DC
Telephone Number	:	702-256-8686

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1376525352 — MIGUEL A GONZALEZ MD
Practice Location Address:

9030 W SAHARA AVE # 260
LAS VEGAS, NV
89117-5744

Practice Phone: 702-321-5293
Practice Fax: 702-463-1507

1417917162 — ALBERT G SIMONCELLI D.C.
Practice Location Address:

9034 W SAHARA AVE
LAS VEGAS, NV
89117-5744

Practice Phone: 702-256-8686
Practice Fax: 702-256-2206

1053464602 — MIGUEL GONZALES M D PROF CORP
Practice Location Address:

9030 W SAHARA AVE # 260
LAS VEGAS, NV
89117-5744

Practice Phone: 702-321-5293
Practice Fax: 702-463-1507

1578689584 — RICHARD HERBERT LANDESS PH.D.
Practice Location Address:

9030 W SAHARA AVE , #626
LAS VEGAS, NV
89117-5744

Practice Phone: 916-962-6138
Practice Fax:

1629388228 — DR. RALPH J IANACONE DC
Practice Location Address:

9034 W SAHARA AVE
LAS VEGAS, NV
89117-5744

Practice Phone: 702-256-8686
Practice Fax: 702-256-2206

1811324387 — GAIL JACKSON
Practice Location Address:

9030 W SAHARA AVE # 193
LAS VEGAS, NV
89117-5744

Practice Phone: 678-577-4401
Practice Fax:

Directions to “MOUNTAIN WEST CHIROPRACTIC, LLC ” 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 © 2007-2025 (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.