Organization Active NPI

Sports Chiropractic & Massage LLC

  • Chiropractor
  • Bernalillo, NM
National Provider Identifier
1114662640
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPORTS CHIROPRACTIC & MASSAGE LLC
Practice address
149 E Calle Don Francisco
Bernalillo, NM 87004-6171
Phone
(505) 808-4739
NPI assigned
Apr 29, 2022
Last updated
Sep 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Authorized official

Name
Morgan Fredrick Smith, DCNPI 1609982347
Title
Owner
Phone
(505) 808-4739

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

149 E Calle Don Francisco
Bernalillo, NM 87004-6171

Mailing address

4 Calle Montoya
Placitas, NM 87043-9302
Phone (505) 808-4739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220712001528 NM Part B Supplier - Clinic/Group Practice 7416337167 Receives reassigned benefits from 1 practitioner
Practice locations: Placitas, NM

National Provider Directory

National Provider Directory

Locations

149 E Calle Don Francisco
Bernalillo, NM 87004
Phone (505) 808-4739

221 State Highway 165
Ste H
Placitas, NM 87043
Phone (505) 808-4739

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1114662640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CALLE MONTOYA",
            "city": "PLACITAS",
            "state": "NM",
            "postal_code": "870439302",
            "telephone_number": "505-808-4739",
            "fax_number": "888-974-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 E CALLE DON FRANCISCO",
            "city": "BERNALILLO",
            "state": "NM",
            "postal_code": "870046171",
            "telephone_number": "505-808-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS CHIROPRACTIC & MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-29",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "FREDRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-808-4739",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bernalillo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.