NPIMap

Organization Active NPI

Reinecke Chiropractic LLC

  • Chiropractor
  • Roswell, NM
National Provider Identifier
1194012104
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1051 Issued in NM
Legal business name
REINECKE CHIROPRACTIC LLC
Practice address
602 E College Blvd Ste 100
Roswell, NM 88201-7529
Phone
(157) 562-3315
Fax
(575) 623-3677
NPI assigned
Jun 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Authorized official

Name
Lisa Reinecke, DC
Title
Owner
Phone
(575) 623-3155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1051 NM Primary

Addresses

Primary practice location

602 E College Blvd Ste 100
Roswell, NM 88201-7529

Mailing address

602 E College Blvd Ste 100
Roswell, NM 88201-7529
Phone (157) 562-3315

National Provider Directory

National Provider Directory

Locations

602 E College Blvd
Ste 100
Roswell, NM 88201

602 E College Blvd
Roswell, NM 88201
Phone (575) 623-3155

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1194012104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 E COLLEGE BLVD STE 100",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882017529",
            "telephone_number": "157-562-3315",
            "fax_number": "575-623-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 E COLLEGE BLVD STE 100",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882017529",
            "telephone_number": "157-562-3315",
            "fax_number": "575-623-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REINECKE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "REINECKE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-623-3155",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1051",
            "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 26, 2018; 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.