Organization Active NPI

Allied Physicians Clinic, Inc.

  • Chiropractor
  • Rio Rancho, NM
National Provider Identifier
1386833937
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1533 Issued in NM
Legal business name
ALLIED PHYSICIANS CLINIC, INC.
Practice address
2704 Southern Blvd SE Ste 3
Rio Rancho, NM 87124-3748
Phone
(505) 896-1300
Fax
(505) 896-6833
NPI assigned
Oct 19, 2007
Last updated
Feb 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Dr. Grant Fielding Stoddard, DC, DAAPMNPI 1922171198
Title
Owner/President
Phone
(505) 896-1300

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
Chiropractor 111N00000X 1533 NM Primary

Addresses

Primary practice location

2704 Southern Blvd SE Ste 3
Rio Rancho, NM 87124-3748

Mailing address

2704 Southern Blvd SE Ste 3
Rio Rancho, NM 87124-3748
Phone (505) 896-1300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080402000095 NM Part B Supplier - Clinic/Group Practice 5092892059 Receives reassigned benefits from 1 practitioner
Practice locations: Rio Rancho, NM

National Provider Directory

National Provider Directory

Locations

2704 Southern Blvd SE
Ste 3
Rio Rancho, NM 87124
Phone (505) 896-1300

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": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1386833937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 SOUTHERN BLVD SE STE 3",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871243748",
            "telephone_number": "505-896-1300",
            "fax_number": "505-896-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 SOUTHERN BLVD SE STE 3",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871243748",
            "telephone_number": "505-896-1300",
            "fax_number": "505-896-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED PHYSICIANS CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "STODDARD",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "FIELDING",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "505-896-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, DAAPM"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.