Active NPI
Susan M Pisano, DC
- Chiropractor
- Santa Fe, NM
National Provider Identifier
1033706643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC1234
- Practice address
- 1651 Galisteo St Ste 12
Santa Fe, NM 87505-2113 - Phone
- (505) 660-8589
- NPI assigned
- Dec 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC1234 | NM | Primary |
Addresses
Primary practice location
1651 Galisteo St Ste 12
Santa Fe, NM 87505-2113
Mailing address
3 Pasillo Chico
Santa Fe, NM 87508-9581
Phone (505) 660-8589
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC1234 | NM | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609200000000",
"number": "1033706643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 PASILLO CHICO",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875089581",
"telephone_number": "505-660-8589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1651 GALISTEO ST STE 12",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875052113",
"telephone_number": "505-660-8589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISANO",
"first_name": "SUSAN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-29",
"last_updated": "2020-12-29",
"certification_date": "2020-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NM",
"license": "DC1234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.