Organization Active NPI

Silver City Chiropractic LLC

  • Chiropractor
  • Silver City, NM
National Provider Identifier
1063615334
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
NM1395 Issued in NM
Legal business name
SILVER CITY CHIROPRACTIC LLC
Practice address
1508 N Swan St
Silver City, NM 88061-6534
Phone
(505) 538-0000
Fax
(505) 538-0000
NPI assigned
Jun 6, 2007
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
Scott A. Robertson, D.C.NPI 1427134907
Title
Manager
Phone
(505) 538-0000

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 NM1395 NM Primary

Addresses

Primary practice location

1508 N Swan St
Silver City, NM 88061-6534

Mailing address

PO Box 613
Tyrone, NM 88065-0613
Phone (505) 538-0000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070927000614 NM Part B Supplier - Clinic/Group Practice 9335234962 Receives reassigned benefits from 1 practitioner
Practice locations: Silver City, NM

National Provider Directory

National Provider Directory

Locations

1508 N Swan St
Silver City, NM 88061
Phone (505) 538-0000

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": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063615334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 613",
            "city": "TYRONE",
            "state": "NM",
            "postal_code": "880650613",
            "telephone_number": "505-538-0000",
            "fax_number": "505-538-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 N SWAN ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880616534",
            "telephone_number": "505-538-0000",
            "fax_number": "505-538-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER CITY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "505-538-0000",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "NM1395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver City, 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.
  • 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.