Active NPI
Michael Nunnally, D.C., F.A.C.O.
- Orthopedic Chiropractor
- Santa Fe, NM
National Provider Identifier
1346313848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 732
- Practice address
- 1482 S Saint Francis Dr Ste a
Santa Fe, NM 87505-4098 - Phone
- (505) 982-7339
- NPI assigned
- Nov 15, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 732 | NM | Primary |
Addresses
Primary practice location
1482 S Saint Francis Dr Ste a
Santa Fe, NM 87505-4098
Mailing address
1482 S Saint Francis Dr Ste a
Santa Fe, NM 87505-4098
Phone (505) 982-7339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120202000320 | NM | Practitioner - Chiropractic | 4385801364 | Practice locations: Santa Fe, NM |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 732 | NM | MD | Orthopedic Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346313848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1482 S SAINT FRANCIS DR STE A",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054098",
"telephone_number": "505-982-7339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1482 S SAINT FRANCIS DR STE A",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054098",
"telephone_number": "505-982-7339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNNALLY",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C., F.A.C.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "NM",
"license": "732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.