Organization Active NPI

Painted Skies Chiropractic LLC

  • Chiropractor
  • Portales, NM
National Provider Identifier
1003746512
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PAINTED SKIES CHIROPRACTIC LLC
Practice address
203 S Main Ave
Portales, NM 88130-6216
Phone
(575) 226-4330
NPI assigned
May 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nathaniel Flores, D.C.NPI 1801785498
Title
Owner
Phone
(575) 226-4330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

203 S Main Ave
Portales, NM 88130-6216

Mailing address

203 S Main Ave # 161
Portales, NM 88130-6216
Phone (575) 226-4330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260608001328 NM Part B Supplier - Clinic/Group Practice 2567933807 Receives reassigned benefits from 1 practitioner
Practice locations: Portales, NM

National Provider Directory

National Provider Directory

Locations

203 S Main Ave
#161
Portales, NM 88130

203 S Main Ave
Portales, NM 88130
Phone (575) 226-4330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1003746512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S MAIN AVE # 161",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881306216",
            "telephone_number": "575-226-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S MAIN AVE",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881306216",
            "telephone_number": "575-226-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAINTED SKIES CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-226-4330",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portales, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.