Organization Active NPI

Del Norte Chiropractic, PLLC

  • Chiropractor
  • El Paso, TX
National Provider Identifier
1326245820
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8664 Issued in TX
Legal business name
DEL NORTE CHIROPRACTIC, PLLC
Practice address
11601 Pellicano Dr Ste A9
El Paso, TX 79936-6054
Phone
(915) 593-2225
Fax
(915) 593-2226
NPI assigned
Jun 28, 2007
Last updated
May 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Dr. Mikel J Anderson, B.S.,D.C.
Title
Chiropractor Owner
Phone
(915) 593-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8664 TX Primary

Addresses

Primary practice location

11601 Pellicano Dr Ste A9
El Paso, TX 79936-6054

Mailing address

11601 Pellicano Dr Ste A9
El Paso, TX 79936-6054
Phone (915) 593-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041029000480 TX Part B Supplier - Clinic/Group Practice 8426010760 Receives reassigned benefits from 1 practitioner
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

11601 Pellicano Dr
Ste A9
El Paso, TX 79936
Phone (915) 593-2225

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1326245820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 PELLICANO DR STE A9",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366054",
            "telephone_number": "915-593-2225",
            "fax_number": "915-593-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 PELLICANO DR STE A9",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366054",
            "telephone_number": "915-593-2225",
            "fax_number": "915-593-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL NORTE CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MIKEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTOR   OWNER",
        "authorized_official_telephone_number": "915-593-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "B.S.,D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.