Bruce Wayne Klinekole, D.C., D.A.C.N.B.

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

1375 Issued in NM

Practice address

500 Mechem Dr Ste B
Ruidoso, NM 88345-6950

Phone

(575) 257-7970

Fax

(575) 257-9677

NPI assigned

Jul 30, 2006

Sex

Male

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 3

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Neurology

Education

Other, 1995

Medicare assignment

May accept Medicare assignment

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• White Mountain Chiropractic Inc.

  • Neurology Chiropractor
  • Ruidoso, NM
  • NPI 1962751669
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1093720864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MECHEM DR STE B",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883456950",
            "telephone_number": "575-257-7970",
            "fax_number": "575-257-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MECHEM DR STE B",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883456950",
            "telephone_number": "575-257-7970",
            "fax_number": "575-257-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINEKOLE",
        "first_name": "BRUCE",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C., D.A.C.N.B.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1375",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NM",
            "license": "1375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO NEW MEXICO",
            "identifier": "51562",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "KC53",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L4208",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Ann Kessler, PHARMD
• Mark E King, PA
• Virginia V King, BMS
• Heather Kinney, LMHC
• Casey Kirkham, PT
• Chelsey Koch
• Jessica Kushman
• La Frontera Center Inc. Dba la Frontera New Mexico, Inc.
• Pamela Beth Lancaster, RN
• Timothy Lewis, MS, CCC-SLP

• Neurology Chiropractor in Ruidoso, NM
• Providers in Ruidoso, NM by specialty
• Neurology Chiropractor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.