Active NPI
Dan Bustamante, D.C.
- Chiropractor
- Artesia, NM
National Provider Identifier
1306194782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1977
- Practice address
- 412 W Main St
Artesia, NM 88210-2031 - Phone
- (575) 513-9430
- NPI assigned
- Aug 16, 2012
- Last updated
- Aug 16, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1977 | NM | Primary |
Addresses
Primary practice location
412 W Main St
Artesia, NM 88210-2031
Mailing address
412 W Main St
Artesia, NM 88210-2031
Phone (575) 513-9430
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1977 | NM | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345075200000",
"number": "1306194782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 W MAIN ST",
"city": "ARTESIA",
"state": "NM",
"postal_code": "882102031",
"telephone_number": "575-513-9430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 W MAIN ST",
"city": "ARTESIA",
"state": "NM",
"postal_code": "882102031",
"telephone_number": "575-513-9430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSTAMANTE",
"first_name": "DAN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-16",
"last_updated": "2012-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NM",
"license": "1977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Artesia, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.