NPIMap

Organization Active NPI

Atlas Orthogonal Chiropractic of Albuquerque LLC

  • Chiropractor
  • Albuquerque, NM
National Provider Identifier
1013246768
Registry record updated Mar 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1413 Issued in NM
Legal business name
ATLAS ORTHOGONAL CHIROPRACTIC OF ALBUQUERQUE LLC
Practice address
2730 San Pedro NE
Suite a
Albuquerque, NM 87110
Phone
(505) 881-0650
Fax
(505) 881-0647
NPI assigned
Dec 9, 2009
Last updated
Mar 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2010

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

Authorized official

Name
Francesca Michelle Russo-Goforth, D.C.NPI 1285660407
Title
Chiropractor/Manager
Phone
(505) 881-0650

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1413 NM Primary
Chiropractor 111N00000X 1750 NM

Addresses

Primary practice location

2730 San Pedro NE
Suite a
Albuquerque, NM 87110

Mailing address

2730 San Pedro NE
Suite a
Albuquerque, NM 87110
Phone (505) 881-0650

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100323000365 NM Part B Supplier - Clinic/Group Practice 0941335418 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

2730 San Pedro Dr NE
Ste A
Albuquerque, NM 87110
Phone (505) 881-0650

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268352000000",
    "number": "1013246768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 SAN PEDRO NE",
            "address_2": "SUITE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87110",
            "telephone_number": "505-881-0650",
            "fax_number": "505-881-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 SAN PEDRO NE",
            "address_2": "SUITE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87110",
            "telephone_number": "505-881-0650",
            "fax_number": "505-881-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS ORTHOGONAL CHIROPRACTIC OF ALBUQUERQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-09",
        "last_updated": "2010-03-12",
        "status": "A",
        "authorized_official_last_name": "RUSSO-GOFORTH",
        "authorized_official_first_name": "FRANCESCA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CHIROPRACTOR/MANAGER",
        "authorized_official_telephone_number": "505-881-0650",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1413",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1750",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; 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.