Active NPI
Joseph Michael Fraley, D.C.
- Chiropractor
- Ruidoso, NM
National Provider Identifier
1356437289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1676
- Practice address
- 1123 Mechem Dr
Suite 2
Ruidoso, NM 88345-7203 - Phone
- (505) 937-4307
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 1676 | NM | Primary |
Addresses
Primary practice location
1123 Mechem Dr
Suite 2
Ruidoso, NM 88345-7203
Mailing address
1123 Mechem Dr # 2
Ruidoso, NM 88345-7203
Phone (575) 258-5999
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325721600000",
"number": "1356437289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1123 MECHEM DR # 2",
"city": "RUIDOSO",
"state": "NM",
"postal_code": "883457203",
"telephone_number": "575-258-5999",
"fax_number": "575-258-1548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1123 MECHEM DR",
"address_2": "SUITE 2",
"city": "RUIDOSO",
"state": "NM",
"postal_code": "883457203",
"telephone_number": "505-937-4307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRALEY",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2012-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NM",
"license": "1676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ruidoso, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.