Organization Active NPI

Hilliard Chiropractic Group Inc

  • Rehabilitation Chiropractor
  • Portales, NM
National Provider Identifier
1366801672
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
2128 Issued in NM
Legal business name
HILLIARD CHIROPRACTIC GROUP INC
Practice address
112 E 4TH St
Portales, NM 88130-6305
Phone
(575) 356-6982
NPI assigned
Feb 15, 2016
Last updated
Feb 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Authorized official

Name
Gregory Bobo, D.C.NPI 1710277389
Title
Owner/Chiropractor
Phone
(770) 377-3050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 2128 NM Primary

Addresses

Primary practice location

112 E 4TH St
Portales, NM 88130-6305

Mailing address

112 E 4TH St
Portales, NM 88130-6305
Phone (575) 356-6982

National Provider Directory

National Provider Directory

Locations

112 E 4th St
Portales, NM 88130
Phone (505) 356-6982

Practitioners & affiliated clinicians

Practitioners 2

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": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1366801672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E 4TH ST",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881306305",
            "telephone_number": "575-356-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E 4TH ST",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881306305",
            "telephone_number": "575-356-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLIARD CHIROPRACTIC GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "BOBO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "770-377-3050",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NM",
            "license": "2128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portales, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.