Organization Active NPI

Nelson Chiropractic and Rehabilitation

  • Chiropractor
  • Las Cruces, NM
National Provider Identifier
1417101841
Registry record updated Dec 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1457 Issued in NM
Legal business name
NELSON CHIROPRACTIC AND REHABILITATION
Practice address
2902 Hillrise Dr
Las Cruces, NM 88011-4702
Phone
(575) 522-0051
Fax
(575) 522-3575
NPI assigned
Nov 12, 2008
Last updated
Dec 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2008

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

Authorized official

Name
Dr. Steven Nelson, D.C.NPI 1992890875
Title
Owner/Chiropractor
Phone
(575) 522-0051

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 1457 NM Primary

Addresses

Primary practice location

2902 Hillrise Dr
Las Cruces, NM 88011-4702

Mailing address

PO Box 155
Las Cruces, NM 88004-0155
Phone (575) 522-0051

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090120000070 NM Part B Supplier - Clinic/Group Practice 4385707280 Receives reassigned benefits from 1 practitioner
Practice locations: Las Cruces, NM

National Provider Directory

National Provider Directory

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": "1226448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230336000000",
    "number": "1417101841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880040155",
            "telephone_number": "575-522-0051",
            "fax_number": "575-522-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 HILLRISE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114702",
            "telephone_number": "575-522-0051",
            "fax_number": "575-522-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON CHIROPRACTIC AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-12",
        "last_updated": "2008-12-27",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "575-522-0051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1457",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 27, 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.