NPIMap

Organization Active NPI

New Mexico Family Chiropractic, P.C.

  • Chiropractor
  • Santa Fe, NM
National Provider Identifier
1457531360
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1545 Issued in NM
Legal business name
NEW MEXICO FAMILY CHIROPRACTIC, P.C.
Practice address
3600 Rodeo LN Ste D2
Santa Fe, NM 87507-5803
Phone
(505) 984-0821
Fax
(505) 984-0168
NPI assigned
Nov 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Dr. Jerome D Buenviaje, D.C.NPI 1568475747
Title
President/Doctor of Chiropractic
Phone
(505) 984-0821

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 1545 NM Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 1548 NM

Addresses

Primary practice location

3600 Rodeo LN Ste D2
Santa Fe, NM 87507-5803

Mailing address

3600 Rodeo LN Ste D2
Santa Fe, NM 87507-5803
Phone (505) 984-0821

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050323001201 NM Part B Supplier - Clinic/Group Practice 2769434943 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Fe, NM

National Provider Directory

National Provider Directory

Locations

3600 Rodeo Ln
Ste D2
Santa Fe, NM 87507
Phone (505) 984-0821

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1457531360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 RODEO LN STE D2",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875075803",
            "telephone_number": "505-984-0821",
            "fax_number": "505-984-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 RODEO LN STE D2",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875075803",
            "telephone_number": "505-984-0821",
            "fax_number": "505-984-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO FAMILY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "BUENVIAJE",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "505-984-0821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1545",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1548",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.