Active NPI
Homer Willis Calkins, B.S.,D.C.
- Chiropractor
- Alamogordo, NM
National Provider Identifier
1437248861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1524
- Practice address
- 802 N Florida Ave
Alamogordo, NM 88310-6420 - Phone
- (575) 437-0843
- Fax
- (575) 437-6070
- NPI assigned
- Oct 12, 2006
- Last updated
- Oct 2, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1524 | NM | Primary |
| Chiropractor | 111N00000X | 8948 | TX |
Addresses
Primary practice location
802 N Florida Ave
Alamogordo, NM 88310-6420
Mailing address
802 N Florida Ave
Alamogordo, NM 88310-6420
Phone (575) 437-0843
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89950062 | Medicaid | NM |
Other names 1
- Dr. Willis Calkins
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050426001481 | NM | Practitioner - Chiropractic | 6800704693 | Practice locations: Alamogordo, NM |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254441600000",
"number": "1437248861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 N FLORIDA AVE",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883106420",
"telephone_number": "575-437-0843",
"fax_number": "575-437-6070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 N FLORIDA AVE",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883106420",
"telephone_number": "575-437-0843",
"fax_number": "575-437-6070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALKINS",
"first_name": "HOMER",
"middle_name": "WILLIS",
"name_prefix": "Dr.",
"credential": "B.S.,D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2009-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NM",
"license": "1524",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "8948",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89950062",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "WILLIS",
"last_name": "CALKINS",
"prefix": "DR.",
"credential": "B.S., D.C.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Alamogordo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; 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.