Active NPI
Robert E Byrd, D.C.
- Chiropractor
- Albuquerque, NM
National Provider Identifier
1093890220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- NM1009
- Practice address
- 7611 Indian School Rd NE
Suite 104
Albuquerque, NM 87110-5405 - Phone
- (505) 268-0808
- Fax
- (505) 268-2458
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NM1009 | NM | Primary |
Addresses
Primary practice location
7611 Indian School Rd NE
Suite 104
Albuquerque, NM 87110-5405
Mailing address
1110 Pennsylvania St NE
Ste a
Albuquerque, NM 87110-7404
Phone (505) 268-0808
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM1009 | Other | NM | NEW MEXICO LICENSE NUMBER |
| NM01K682 | Other | NM | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10555 Montgomery Blvd NE
BLDG 1 Suite 30
Albuquerque, NM 87111-3857
Phone (505) 299-6622
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1009 | NM | MD | Marriage & Family Therapist |
| NM1009 | NM | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Mexico Chiropractic Center PC | Chiropractor | Current | Accepting new patients |
Locations
10555 Montgomery Blvd NE
Ste 30
Albuquerque, NM 87111
Phone (505) 299-6622
Organizations & group practices 1
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.
-
- Chiropractor
- Albuquerque, NM
- NPI 1497889620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531699200000",
"number": "1093890220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 PENNSYLVANIA ST NE",
"address_2": "STE A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871107404",
"telephone_number": "505-268-0808",
"fax_number": "505-268-2458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7611 INDIAN SCHOOL RD NE",
"address_2": "SUITE 104",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871105405",
"telephone_number": "505-268-0808",
"fax_number": "505-268-2458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRD",
"first_name": "ROBERT",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2018-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NM",
"license": "NM1009",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW MEXICO LICENSE NUMBER",
"identifier": "NM1009",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "NM01K682",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.