NPIMap

Organization Active NPI

First Mountain Star Injury Clinic

  • Chiropractor
  • El Paso, TX
National Provider Identifier
1275716425
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9245 Issued in TX
Legal business name
FIRST MOUNTAIN STAR INJURY CLINIC
Practice address
5630 Gateway Blvd E
Ste. 5-E
El Paso, TX 79905-1748
Phone
(915) 781-7827
Fax
(915) 781-0884
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Mr. Art Archuleta Jr.
Title
President
Phone
(915) 781-7827

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 9245 TX Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 4847 TX

Addresses

Primary practice location

5630 Gateway Blvd E
Ste. 5-E
El Paso, TX 79905-1748

Mailing address

5630 Gateway Blvd E
Ste. 5-E
El Paso, TX 79905-1748
Phone (915) 781-7827

Other names 1

  • Mountain Star Injury Clinic Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
First Mountain Star Injury Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5630 Gateway Blvd E
Ste 5E
El Paso, TX 79905
Phone (915) 781-7827

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1275716425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5630 GATEWAY BLVD E",
            "address_2": "STE. 5-E",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799051748",
            "telephone_number": "915-781-7827",
            "fax_number": "915-781-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5630 GATEWAY BLVD E",
            "address_2": "STE. 5-E",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799051748",
            "telephone_number": "915-781-7827",
            "fax_number": "915-781-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST MOUNTAIN STAR INJURY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "ARCHULETA",
        "authorized_official_first_name": "ART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-781-7827",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9245",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4847",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Star Injury Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.