Individual provider Active NPI

Homer Willis Calkins, B.S.,D.C.

  • Chiropractor
  • Alamogordo, NM
National Provider Identifier
1437248861
Registry record updated Oct 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1524 Issued in NM
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
89950062MedicaidNM

Other names 1

  • Dr. Willis Calkins Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

Verify at the official NPI Registry.