Individual provider Active NPI

Laura Rodriguez, D.C

  • Chiropractor
  • Las Cruces, NM
National Provider Identifier
1083715130
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1659 Issued in NM
Practice address
1705 North Valley Drive
Suite 4
Las Cruces, NM 88007-5121
Phone
(575) 527-5083
Fax
(575) 527-5093
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1659 NM Primary

Addresses

Primary practice location

1705 North Valley Drive
Suite 4
Las Cruces, NM 88007-5121

Mailing address

1705 N Valley Dr
Suite 4
Las Cruces, NM 88007-5121
Phone (575) 527-5083

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1659NMMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1083715130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 N VALLEY DR",
            "address_2": "SUITE 4",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880075121",
            "telephone_number": "575-527-5083",
            "fax_number": "575-527-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 NORTH VALLEY DRIVE",
            "address_2": "SUITE 4",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880075121",
            "telephone_number": "575-527-5083",
            "fax_number": "575-527-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.