Active NPI
Ronald M Mitchell, DC
- Chiropractor
- Las Cruces, NM
National Provider Identifier
1386754240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 828
- Practice address
- 816 Spruce
Las Cruces, NM 88001 - Phone
- (505) 525-0444
- Fax
- (505) 525-0445
- NPI assigned
- Aug 30, 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 | 828 | NM | Primary |
Addresses
Primary practice location
816 Spruce
Las Cruces, NM 88001
Mailing address
PO Box 2764
Las Cruces, NM 88004
Phone (505) 525-0444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM00K722 | Other | BCBS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 828 | NM | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386754240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2764",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "88004",
"telephone_number": "505-525-0444",
"fax_number": "505-525-0445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "816 SPRUCE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "88001",
"telephone_number": "505-525-0444",
"fax_number": "505-525-0445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "RONALD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NM",
"license": "828",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NM00K722",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.