Bauer Chiropractic PC
Organization Active NPI Chiropractor · Las Cruces, NM
NPI 1255504288 · NPPES record last updated Oct 23, 2012
Key facts
- NPI
- 1255504288
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 972 (NM)
- Legal business name
- BAUER CHIROPRACTIC PC
- Practice address
- 1265 S Main St
Las Cruces, NM 88005-3122 - Phone
- (575) 524-4494
- Fax
- (575) 523-2526
- NPI assigned
- Apr 10, 2008
- Organization subpart
- No
Authorized official
- Name
- Lane Bauer, D.C.
- Title
- President
- Phone
- (575) 524-4494
Practitioners 1
-
Lane S. Bauer, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121009000413 | NM | Part B Supplier - Clinic/Group Practice | 7113176058 |
Receives reassigned benefits from 1 practitioner Practice locations: Las Cruces, NM |
National Provider Directory
Locations
1265 S Main St
Las Cruces, NM 88005
Phone (505) 524-4494
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 972 | NM | Yes |
| Medical Specialty Clinic/Center | 261QM2500X | 972 | NM |
Addresses
Primary practice location
1265 S Main St
Las Cruces, NM 88005-3122
Mailing address
1265 S Main St
Las Cruces, NM 88005-3122
Phone (575) 524-4494
Other providers in Las Cruces, NM
- Harry Bass
- Paula Denise Bass
- Bat Ray Inpatient Services LLC
- Donna Bateman
- Sabina Batista
- Brent Alan Bauer
- Lane S. Bauer
- Jared Bauerle
- Liza Marie Bauman
- Sheri Bauman
All providers in Las Cruces, NM · Chiropractor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.