Organization Active NPI

Pecos Valley Chiropractic P C

  • Chiropractor
  • Roswell, NM
National Provider Identifier
1184739997
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PECOS VALLEY CHIROPRACTIC P C
Practice address
200 W 1St St
Suite 847
Roswell, NM 88203-4668
Phone
(575) 625-0039
Fax
(575) 625-2252
NPI assigned
Aug 20, 2006
Last updated
Oct 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Frieda Roberts
Title
Office Manager
Phone
(575) 625-0039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

200 W 1St St
Suite 847
Roswell, NM 88203-4668

Mailing address

200 W 1St St
Suite 847
Roswell, NM 88203-4668
Phone (575) 625-0039

National Provider Directory

National Provider Directory

Locations

200 W 1st St
Ste 847
Roswell, NM 88203
Phone (575) 625-0039

313 W Country Club Rd
Ste 5
Roswell, NM 88201
Phone (575) 625-0039

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1184739997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 1ST ST",
            "address_2": "SUITE 847",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882034668",
            "telephone_number": "575-625-0039",
            "fax_number": "575-625-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 1ST ST",
            "address_2": "SUITE 847",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882034668",
            "telephone_number": "575-625-0039",
            "fax_number": "575-625-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PECOS VALLEY CHIROPRACTIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "FRIEDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "575-625-0039"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.