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LAKE MEAD CHIROPRACTIC
NPI 1487830154
Chiropractor in Las Vegas, NV

Active since January 12, 2008
8576 W LAKE MEAD BLVD, LAS VEGAS, NV 89128(702) 255-3003(702) 255-8133 Get Directions Write a Review

NPPES record last updated: January 12, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lake Mead Chiropractic NPPES

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

LAKE MEAD CHIROPRACTIC (NPI 1487830154) is a healthcare organization registered as a chiropractor in Las Vegas, Nevada and active in the NPI registry since January 2008. The organization lists Matthew Mortensen, President, as its authorized official.

NPPES Registry Identity

NPI1487830154
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMATTHEW K MORTENSEN DC LTD
Location Address8576 W LAKE MEAD BLVDLas Vegas, NV 89128-7630
Mailing Address8576 W Lake Mead BlvdLas Vegas, NV 89128-7630 · (702) 255-3003 · Fax (702) 255-8133
Phone(702) 255-3003
Fax(702) 255-8133
Organization SubpartNo
Authorized OfficialMatthew MortensenPresident · (702) 255-3003
Enumeration DateJanuary 12, 2008
✔ NPI 1487830154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
8576 W LAKE MEAD BLVD, Las Vegas, NV 89128
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Other Names 1

Doing Business AsLake Mead Chiropractic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lake Mead Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lake Mead Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Matthew Mortensen, D.C.
Chiropractic
NPI 1558419705
8576 W LAKE MEAD BLVD
Las Vegas, NV 89128
(702) 255-3003
✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Matthew K Mortensen Dc Ltd's NPI number?

The NPI number for Matthew K Mortensen Dc Ltd is 1487830154. It was assigned to this organization in the NPPES registry on January 12, 2008. The provider is doing business as Lake Mead Chiropractic.

Where is Matthew K Mortensen Dc Ltd located?

Matthew K Mortensen Dc Ltd is located at 8576 W Lake Mead Blvd, Las Vegas, NV 89128. The listed phone number is (702) 255-3003.

What is Matthew K Mortensen Dc Ltd's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Matthew K Mortensen Dc Ltd enrolled in Medicare?

Yes. Matthew K Mortensen Dc Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Matthew K Mortensen Dc Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Matthew K Mortensen Dc Ltd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Matthew K Mortensen Dc Ltd was last updated on January 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.