Active NPI
Heritage Chiropractic Center, LLC
- Chiropractor
- Las Cruces, NM
National Provider Identifier
1619138807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1581
- Legal business name
- HERITAGE CHIROPRACTIC CENTER, LLC
- Practice address
- 755 S Telshor Blvd
Suite R-102
Las Cruces, NM 88011-4688 - Phone
- (575) 532-1116
- NPI assigned
- Jun 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John K Nelson, DC
- Title
- Doctor of Chiropractic
- Phone
- (575) 532-1116
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1581 | NM | Primary |
Addresses
Primary practice location
755 S Telshor Blvd
Suite R-102
Las Cruces, NM 88011-4688
Mailing address
755 S Telshor Blvd
Suite R-102
Las Cruces, NM 88011-4688
Phone (575) 532-1116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
755 S Telshor Blvd
Ste R102
Las Cruces, NM 88011
Phone (505) 522-5666
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Las Cruces, NM
- NPI 1164573085
-
- Chiropractor
- Las Cruces, NM
- NPI 1205075462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291593600000",
"number": "1619138807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 S TELSHOR BLVD",
"address_2": "SUITE R-102",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114688",
"telephone_number": "575-532-1116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 S TELSHOR BLVD",
"address_2": "SUITE R-102",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114688",
"telephone_number": "575-532-1116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERITAGE CHIROPRACTIC CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-19",
"last_updated": "2010-12-06",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
"authorized_official_telephone_number": "575-532-1116",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NM",
"license": "1581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.