Individual provider Active NPI

Michaela Supple, DC

  • Chiropractor
  • Albuquerque, NM
National Provider Identifier
1457256059
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-2026-0019 Issued in NM
Practice address
6200 Coors Blvd NW
Ste #A7
Albuquerque, NM 87120-2794
Phone
(505) 480-2846
NPI assigned
Oct 13, 2026
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-2026-0019 NM Primary

Addresses

Primary practice location

6200 Coors Blvd NW
Ste #A7
Albuquerque, NM 87120-2794

Mailing address

9604 Peralta Rd NE
Albuquerque, NM 87109-6360
Phone (505) 480-2846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1457256059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9604 PERALTA RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096360",
            "telephone_number": "505-480-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 COORS BLVD NW",
            "address_2": "STE #A7",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202794",
            "telephone_number": "505-480-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPPLE",
        "first_name": "MICHAELA",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "DC-2026-0019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.