Individual provider Active NPI

Jeremy Sean Rowse, D.C.

  • Chiropractor
  • Farmington, NM
National Provider Identifier
1457366213
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1565 Issued in NM
Practice address
2904 Hutton Ave
Farmington, NM 87402-4564
Phone
(505) 327-4845
Fax
(505) 327-6274
NPI assigned
Jul 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1565 NM Primary

Addresses

Primary practice location

2904 Hutton Ave
Farmington, NM 87402-4564

Mailing address

2904 Hutton Ave
Farmington, NM 87402-4564
Phone (505) 327-4845

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071024000355 NM Practitioner - Chiropractic 4789771684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
La Mesa Chiropractic and Rehabilitation Center Inc.Group PAC ID 8426145327, 3 clinicians

Practice addresses (Care Compare)

2904 N Hutton Ave
Farmington, NM 87402-4564
Phone (505) 327-4845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1565NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
La Mesa Chiropractic and Rehabilitation Center Inc. Chiropractor CurrentSince Apr 30, 2003 Accepting new patients

Locations

2904 Hutton Ave
Farmington, NM 87402
Phone (505) 327-4845

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457366213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 HUTTON AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874024564",
            "telephone_number": "505-327-4845",
            "fax_number": "505-327-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 HUTTON AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874024564",
            "telephone_number": "505-327-4845",
            "fax_number": "505-327-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWSE",
        "first_name": "JEREMY",
        "middle_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.