Individual provider Active NPI

Tracy A. Marquez, DC

  • Chiropractor
  • Bernalillo, NM
National Provider Identifier
1174706568
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1322 Issued in NM
Practice address
965 W Highway 550 Ste C
Bernalillo, NM 87004
Phone
(505) 860-1418
NPI assigned
Dec 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3968 CO
Chiropractor 111N00000X 1322 NM Primary

Addresses

Primary practice location

965 W Highway 550 Ste C
Bernalillo, NM 87004

Mailing address

7423 Tricia Rd NE
Albuquerque, NM 87113-1797
Phone (505) 860-1418

Other practice location 1

201 S. Main Ave.
Aztec, NM 87410
Phone (505) 334-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041020000009 NM Practitioner - Chiropractic 5092775858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

848 S Camino del Pueblo
Bernalillo, NM 87004-5927
Phone (505) 200-2148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3968COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inline Chiropractic Corporation Chiropractor CurrentSince Jan 1, 2019 Accepting new patients

Locations

848 S Camino del Pueblo
Bernalillo, NM 87004
Phone (505) 200-2148

965 W Highway 550
Ste C
Bernalillo, NM 87004
Phone (505) 860-1418

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.

NPI Registry JSON

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

{
    "created_epoch": "1197158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1174706568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7423 TRICIA RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131797",
            "telephone_number": "505-860-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 W HIGHWAY 550 STE C",
            "city": "BERNALILLO",
            "state": "NM",
            "postal_code": "87004",
            "telephone_number": "505-860-1418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 S. Main Ave.",
            "address_purpose": "LOCATION",
            "city": "Aztec",
            "state": "NM",
            "postal_code": "87410",
            "country_code": "US",
            "telephone_number": "505-334-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "TRACY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-09",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "3968",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1322",
            "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 Jan 3, 2019; 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.