Provider Demographics
NPI:1063563880
Name:BEAUTIFUL MACHINE CHIROPRACTIC LLC
Entity type:Organization
Organization Name:BEAUTIFUL MACHINE CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:NOAKES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:702-838-8988
Mailing Address - Street 1:1591 N BUFFALO DR
Mailing Address - Street 2:STE 120
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-3632
Mailing Address - Country:US
Mailing Address - Phone:702-838-8988
Mailing Address - Fax:702-838-3903
Practice Address - Street 1:1591 N BUFFALO DR
Practice Address - Street 2:STE 120
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-3632
Practice Address - Country:US
Practice Address - Phone:702-838-8988
Practice Address - Fax:702-838-3903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB02010111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVCC1840OtherANTHEMBLUECROSSPROVIDERID
NV1083614945OtherNPI INDIVIDUAL
NVV07921Medicare UPIN
NVV101841Medicare PIN
NV1083614945OtherNPI INDIVIDUAL