NPIMap

Organization Active NPI

Agape Chiropractic Corporation

  • Chiropractor
  • Truth Or Consequences, NM
National Provider Identifier
1063522837
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1493 Issued in NM
Legal business name
AGAPE CHIROPRACTIC CORPORATION
Practice address
402 N Broadway
Truth Or Consequences, NM 87901-2836
Phone
(505) 894-9355
Fax
(505) 894-8588
NPI assigned
Aug 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dean Ray Brock, DCNPI 1144383753
Title
President
Phone
(505) 740-3688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1052 HI
Chiropractor 111N00000X 1493 NM Primary

Addresses

Primary practice location

402 N Broadway
Truth Or Consequences, NM 87901-2836

Mailing address

402 N Broadway
Truth Or Consequences, NM 87901-2836
Phone (505) 894-9355

National Provider Directory

National Provider Directory

Locations

402 N Broadway St
Truth Or Consequences, NM 87901
Phone (505) 894-9355

Practitioners & affiliated clinicians

Practitioners 1

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063522837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 N BROADWAY",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879012836",
            "telephone_number": "505-894-9355",
            "fax_number": "505-894-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N BROADWAY",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879012836",
            "telephone_number": "505-894-9355",
            "fax_number": "505-894-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-740-3688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "1052",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Truth Or Consequences, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.