Classic Chiropractic Clinic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

590 Issued in NM

Legal business name

CLASSIC CHIROPRACTIC CLINIC PC

Practice address

401 N Union Ave
Roswell, NM 88201-3948

Phone

(575) 623-9983

Fax

(575) 623-9982

NPI assigned

Jan 29, 2010

Organization subpart

No

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

Authorized official

Name

Robert Wayne Whited, DC

Title

President

Phone

(575) 623-9983

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264723200000",
    "number": "1194056200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N UNION AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882013948",
            "telephone_number": "575-623-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N UNION AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882013948",
            "telephone_number": "575-623-9983",
            "fax_number": "575-623-9982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-29",
        "last_updated": "2010-01-29",
        "status": "A",
        "authorized_official_last_name": "WHITED",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-623-9983",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerri R Citty, PHARM.D., RPH
• City of Roswell Office of Clerk (Roswell Fire Department)
• Don R. Clark, M.D.
• Joella Ruth Clark, LSAA
• Mariola D Clark, MS CCC-SLP
• Brent Clay
• Amanda R Clem
• Maria Clements, COTA/L
• Terri L Clemmons, LPN
• Clinical Colleagues Inc

• Chiropractor in Roswell, NM
• Providers in Roswell, NM by specialty
• Chiropractor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.