Individual provider Active NPI

Paul Richard Hordes, D.C.

  • Chiropractor
  • Albuquerque, NM
National Provider Identifier
1407089196
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1761 Issued in NM
Practice address
7007 Wyoming Blvd NE
Ste A3
Albuquerque, NM 87109-6941
Phone
(505) 699-4594
NPI assigned
Aug 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1761 NM Primary

Addresses

Primary practice location

7007 Wyoming Blvd NE
Ste A3
Albuquerque, NM 87109-6941

Mailing address

7007 Wyoming Blvd NE
Ste A3
Albuquerque, NM 87109-6941
Phone (505) 699-4594

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091111000321 NM Practitioner - Chiropractic 5193863132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Active Chiropractic Spine and Joint Center LLCGroup PAC ID 0648400101, 3 clinicians

Practice addresses (Care Compare)

5305 Heritage CT NE
Albuquerque, NM 87109-3178
Phone (505) 699-4594

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1761NMMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Active Chiropractic Spine & Joint Center, LLC Chiropractor CurrentSince Oct 22, 2013 Accepting new patients
Embodied Soul Chiropractic Chiropractor PastSince Oct 22, 2013 Accepting new patients

Locations

5305 Heritage Ct NE
Albuquerque, NM 87109
Phone (505) 699-4594

7007 Wyoming Blvd NE
Ste A3
Albuquerque, NM 87109
Phone (505) 699-4594

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1407089196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 WYOMING BLVD NE",
            "address_2": "STE A3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096941",
            "telephone_number": "505-699-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 WYOMING BLVD NE",
            "address_2": "STE A3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096941",
            "telephone_number": "505-699-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORDES",
        "first_name": "PAUL",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-27",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.