Betty B. Sutliff, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1382 Issued in NM

Practice address

1983 State Road 602
Gallup, NM 87301-7216

Phone

(505) 722-7575

Fax

(866) 856-0852

NPI assigned

Feb 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1995

Medicare assignment

May accept Medicare assignment

Group practices

Full Circle Chiropractic, PCGroup PAC ID 6901940725, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Full Circle Chiropractic, PC

  • Chiropractor
  • Gallup, NM
  • NPI 1205163854
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1083758569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 STATE ROAD 602",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873017216",
            "telephone_number": "505-722-7575",
            "fax_number": "866-856-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1983 STATE ROAD 602",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873017216",
            "telephone_number": "505-722-7575",
            "fax_number": "866-856-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTLIFF",
        "first_name": "BETTY",
        "middle_name": "B.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5417",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0938150",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0240821",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sundance Dental Care of Gallup
• Debra S Sunier, RN
• Surgery Management Group LLC (Gallup Surgery Center)
• Astra Surom
• Sharna J Sutherin, PH.D.
• Timothy Sutton
• Anandan Swaminathan, MD
• Charlotte Ann Swindal, CNM
• Lauren Swinney, RN
• Synapse Integrated Psychology, LLC

• Chiropractor in Gallup, NM
• Providers in Gallup, NM by specialty
• Chiropractor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.