Individual provider Active NPI

Rafael Ivan Parra Torres, DC

  • Chiropractor
  • Las Cruces, NM
National Provider Identifier
1194200725
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2024-0014 Issued in NM
Practice address
2151 N Main St
Las Cruces, NM 88001-1128
Phone
(915) 263-3715
NPI assigned
Sep 29, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16201 TX
Surgical Assistant 246ZC0007X 18-381 TX
Chiropractor 111N00000X 2024-0014 NM Primary

Addresses

Primary practice location

2151 N Main St
Las Cruces, NM 88001-1128

Mailing address

2151 N Main St
Las Cruces, NM 88001-1128
Phone (915) 263-3715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2024-0014NMMDChiropractor
16201TXMDChiropractor
18-381TXMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rafael Ivan Parra Torres Surgical Assistant Current Accepting new patients

Locations

2151 N Main St
Las Cruces, NM 88001
Phone (503) 724-3092

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": "1538179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1194200725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 N MAIN ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011128",
            "telephone_number": "915-263-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 N MAIN ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011128",
            "telephone_number": "915-263-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRA TORRES",
        "first_name": "RAFAEL",
        "middle_name": "IVAN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-29",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16201",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "18-381",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "2024-0014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.