Organization Active NPI

Medley Chiropractic DC PC

  • Chiropractor
  • Carlsbad, NM
National Provider Identifier
1497924880
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
733 Issued in NM
Legal business name
MEDLEY CHIROPRACTIC DC PC
Practice address
926 N Canal St
Carlsbad, NM 88220-5110
Phone
(575) 887-0565
Fax
(575) 885-5818
NPI assigned
Feb 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Authorized official

Name
Dr. John Martin Medley, DC FAACPNPI 1023078029
Title
Owner/President
Phone
(575) 887-0565

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 733 NM Primary

Addresses

Primary practice location

926 N Canal St
Carlsbad, NM 88220-5110

Mailing address

926 N Canal St
Carlsbad, NM 88220-5110
Phone (575) 887-0565

Other identifiers 1

IdentifierTypeStateIssuer
NM01K917OtherNMBCBSNM

National Provider Directory

National Provider Directory

Locations

926 N Canal St
Carlsbad, NM 88220
Phone (505) 887-0565

Practitioners & affiliated clinicians

Practitioners 1

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": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1497924880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 N CANAL ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205110",
            "telephone_number": "575-887-0565",
            "fax_number": "575-885-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 N CANAL ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205110",
            "telephone_number": "575-887-0565",
            "fax_number": "575-885-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLEY CHIROPRACTIC DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "MEDLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "575-887-0565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC FAACP"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNM",
            "identifier": "NM01K917",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.