NPIMap

Organization Active NPI

Summit Spine and Sports Medicine, LLC

  • Chiropractor
  • Santa Fe, NM
National Provider Identifier
1588092795
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1723 Issued in NM
Legal business name
SUMMIT SPINE AND SPORTS MEDICINE, LLC
Practice address
1925 Aspen Dr
Suite 803-B
Santa Fe, NM 87505-5459
Phone
(505) 780-8617
Fax
(505) 780-8617
NPI assigned
Oct 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Authorized official

Name
Dr. Scott E Williams, D.C.NPI 1124457064
Title
Owner
Phone
(505) 780-8617

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 1723 NM Primary

Addresses

Primary practice location

1925 Aspen Dr
Suite 803-B
Santa Fe, NM 87505-5459

Mailing address

1925 Aspen Dr
Suite 803-B
Santa Fe, NM 87505-5459
Phone (505) 780-8617

National Provider Directory

National Provider Directory

Locations

1925 Aspen Dr
Ste 803B
Santa Fe, NM 87505
Phone (505) 780-8617

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": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1588092795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 ASPEN DR",
            "address_2": "SUITE 803-B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055459",
            "telephone_number": "505-780-8617",
            "fax_number": "505-780-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 ASPEN DR",
            "address_2": "SUITE 803-B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055459",
            "telephone_number": "505-780-8617",
            "fax_number": "505-780-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT SPINE AND SPORTS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-780-8617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1723",
            "primary": true
        }
    ],
    "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 Jan 10, 2014; 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.