Organization Active NPI

Connerly Chiropractic Services Inc

  • Chiropractor
  • Santa Fe, NM
National Provider Identifier
1407917974
Registry record updated Nov 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1314 Issued in NM
Legal business name
CONNERLY CHIROPRACTIC SERVICES INC
Practice address
2074 Galisteo St Ste B5
Santa Fe, NM 87505-2157
Phone
(505) 988-8017
Fax
(505) 988-8018
NPI assigned
Dec 12, 2006
Last updated
Nov 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2025

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

Authorized official

Name
Ms. Margaret W Connerly
Title
Manager
Phone
(505) 988-8017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1314 NM Primary

Addresses

Primary practice location

2074 Galisteo St Ste B5
Santa Fe, NM 87505-2157

Mailing address

2074 Galisteo St Ste B5
Santa Fe, NM 87505-2157

Other identifiers 1

IdentifierTypeStateIssuer
89953088MedicaidNM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050826000747 NM Part B Supplier - Clinic/Group Practice 3577594738 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Fe, NM

National Provider Directory

National Provider Directory

Locations

2074 Galisteo St
Ste B5
Santa Fe, NM 87505
Phone (505) 988-8017

801 Cerrillos Rd
Santa Fe, NM 87505
Phone (505) 216-0752

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763769600000",
    "number": "1407917974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 GALISTEO ST STE B5",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 GALISTEO ST STE B5",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052157",
            "telephone_number": "505-988-8017",
            "fax_number": "505-988-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNERLY CHIROPRACTIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2025-11-22",
        "certification_date": "2025-11-22",
        "status": "A",
        "authorized_official_last_name": "CONNERLY",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "505-988-8017",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89953088",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2025; 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.