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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DAVID C KETCHUM D.C.
NPI 1467458067
Chiropractor - Sports Physician in Las Vegas, NV

Active since June 28, 2005
2647 BOX CANYON DR, LAS VEGAS, NV 89128(702) 363-5575(702) 646-1727 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. David C Ketchum D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID C KETCHUM D.C. (NPI 1467458067) is an individual sports physician in Las Vegas, Nevada, licensed in Nevada (B842) and active in the NPI registry since June 2005. He is a graduate of Life Chiropractic College (1997).

NPPES Registry Identity

NPI1467458067
Entity TypeIndividualMale
Primary Taxonomy111NS0005X
Provider Legal NameDR. DAVID C KETCHUMCredential: D.C.
Location Address2647 BOX CANYON DRLas Vegas, NV 89128-0450
Mailing Address2647 Box Canyon DrLas Vegas, NV 89128-0450 · (702) 363-5575 · Fax (702) 646-1727
Phone(702) 363-5575
Fax(702) 646-1727
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 1997
Enumeration DateJune 28, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1467458067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in NV · B842
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
2647 BOX CANYON DR, Las Vegas, NV 89128
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Other Identifiers 1

OtherB842NV · Chir Bd Of Nv License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. David C Ketchum D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204724552
PECOS Enrollment IDI20091006000395

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
106 services29 patients

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT ROTH MD A PROFESSIONAL
Clinic/Center (Multi-Specialty)
2647 BOX CANYON DR
LAS VEGAS, NV 89128
Clark County (702) 363-5575
DR. ROBERT STEPHAN ROTH M.D.
Internal Medicine
2647 BOX CANYON DR
LAS VEGAS, NV 89128
Clark County (702) 363-5575
KRISTAL M NESSA PA-C
Physician Assistant (Medical)
2647 BOX CANYON DR
LAS VEGAS, NV 89128
Clark County (702) 363-5575
DANIELLE MARIE CALLANAN PA-C
Physician Assistant
2647 BOX CANYON DR
LAS VEGAS, NV 89128
Clark County (702) 363-5575
THOMAS L. MILLER PHYSICIAN ASSISTANT
Physician Assistant
2647 BOX CANYON DR
LAS VEGAS, NV 89128
Clark County (702) 363-5575
ALLISON ZILBERMAN
Counselor (Mental Health)
2647 BOX CANYON DR
LAS VEGAS, NV 89128
Clark County (725) 210-4717

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Ketchum's NPI number?

The NPI number for David Ketchum is 1467458067. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Where is David Ketchum located?

David Ketchum practices at 2647 Box Canyon Dr, Las Vegas, NV 89128. The listed phone number is (702) 363-5575.

What is David Ketchum's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is David Ketchum enrolled in Medicare?

Yes. David Ketchum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does David Ketchum accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Medica and Providence Health Plan list David Ketchum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Ketchum was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.