Adjusted Chiropractic Center
Organization Active NPI Chiropractor · Aztec, NM
NPI 1437601028 · NPPES record last updated Oct 29, 2016
Key facts
- NPI
- 1437601028
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2152 (NM)
- Legal business name
- ADJUSTED CHIROPRACTIC CENTER
- Practice address
- 1409 W Aztec Blvd
8
Aztec, NM 87410-4709 - Phone
- (505) 333-7929
- Fax
- (505) 333-7931
- NPI assigned
- Oct 29, 2016
- Organization subpart
- No
Authorized official
- Name
- Lisa Anne McClain
- Title
- Owner/Manager
- Phone
- (505) 333-7929
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180605002114 | NM | Part B Supplier - Clinic/Group Practice | 8921363342 |
Receives reassigned benefits from 1 practitioner Practice locations: Aztec, NM |
National Provider Directory
Locations
1409 W Aztec Blvd
Ste 8
Aztec, NM 87410
Phone (505) 333-7929
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 2152 | NM | Yes |
Addresses
Primary practice location
1409 W Aztec Blvd
8
Aztec, NM 87410-4709
Mailing address
1409 W Aztec Blvd
8
Aztec, NM 87410-4709
Phone (505) 333-7929
Other providers in Aztec, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.