Organization Active NPI

Alpha and Omega Chiropractic

  • Chiropractor
  • Ruidoso, NM
National Provider Identifier
1073712980
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1676 Issued in NM
Legal business name
ALPHA AND OMEGA CHIROPRACTIC
Practice address
1123 Mechem Dr
Ruidoso, NM 88345-7203
Phone
(505) 258-5999
NPI assigned
Jul 12, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Joseph Fraley, DC
Title
Owner
Phone
(505) 258-5999

National Provider Directory

National Provider Directory

Locations

1123 Mechem Dr
Ruidoso, NM 88345
Phone (505) 258-5999

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1676 NM Primary

Addresses

NPPES NPI Registry

Primary practice location

1123 Mechem Dr
Ruidoso, NM 88345-7203

Mailing address

1123 Mechem Dr
Ruidoso, NM 88345-7203

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 6, 2007.

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1073712980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 MECHEM DR",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883457203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 MECHEM DR",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883457203",
            "telephone_number": "505-258-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA AND OMEGA CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "FRALEY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-258-5999",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruidoso, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.