Richard A Farris, D.C.
Individual provider Active NPI Chiropractor · Corona, NM
NPI 1538358734 · NPPES record last updated Oct 24, 2007
Key facts
- NPI
- 1538358734
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 391 (NM)
- Practice address
- 471 Main Street
Corona, NM 88318 - Phone
- (575) 849-1561
- NPI assigned
- Oct 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 391 | NM | MD | Advanced Practice Midwife |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 391 | NM | Yes |
Addresses
Primary practice location
471 Main Street
Corona, NM 88318
Mailing address
PO Box 1204
Alto, NM 88312-1204
Phone (575) 336-9140
Other providers in Corona, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.