Organization Active NPI

Aztec Chiropractic Center

  • Chiropractor
  • Aztec, NM
National Provider Identifier
1154138477
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
AZTEC CHIROPRACTIC CENTER
Practice address
318 E Chuska St
Aztec, NM 87410-2115
Phone
(505) 334-3633
NPI assigned
Dec 11, 2024
Last updated
Dec 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Gabrielle Julia Atencio, D.C.NPI 1093312779
Title
President
Phone
(505) 419-4868

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 NU Primary

Addresses

Primary practice location

318 E Chuska St
Aztec, NM 87410-2115

Mailing address

318 E Chuska St
Aztec, NM 87410-2115
Phone (505) 334-3633

Other identifiers 1

IdentifierTypeStateIssuer
1043203904OtherNMGROUP NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250319000398 NM Part B Supplier - Clinic/Group Practice 4688196728 Receives reassigned benefits from 1 practitioner
Practice locations: Aztec, NM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1154138477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 E CHUSKA ST",
            "city": "AZTEC",
            "state": "NM",
            "postal_code": "874102115",
            "telephone_number": "505-334-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 E CHUSKA ST",
            "city": "AZTEC",
            "state": "NM",
            "postal_code": "874102115",
            "telephone_number": "505-334-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZTEC CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "ATENCIO",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_middle_name": "JULIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-419-4868",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1043203904",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aztec, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.