Active NPI
Liberty Chiropractice LLC
- Rehabilitation Chiropractor
- Roswell, NM
National Provider Identifier
1629216692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 1500
- Legal business name
- LIBERTY CHIROPRACTICE LLC
- Practice address
- 1500 N Washington Ave
Roswell, NM 88201-3250 - Phone
- (575) 622-8118
- Fax
- (575) 622-6946
- NPI assigned
- Jan 29, 2009
- 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. Terry W. Todd, D.C.
- Title
- Solo Member
- Phone
- (575) 622-8118
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 1500 | NM | Primary |
Addresses
Primary practice location
1500 N Washington Ave
Roswell, NM 88201-3250
Mailing address
PO Box 3265
Roswell, NM 88202-3265
Phone (575) 622-8118
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790738805 | Other | NM | NPI |
Other names 1
- Terry Todd, DC
National Provider Directory
National Provider DirectoryLocations
1500 N Washington Ave
Roswell, NM 88201
Phone (505) 622-8118
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Roswell, NM
- NPI 1790738805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233187200000",
"number": "1629216692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3265",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882023265",
"telephone_number": "575-622-8118",
"fax_number": "575-622-6946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 N WASHINGTON AVE",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882013250",
"telephone_number": "575-622-8118",
"fax_number": "575-622-6946"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERTY CHIROPRACTICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-29",
"last_updated": "2009-01-29",
"status": "A",
"authorized_official_last_name": "TODD",
"authorized_official_first_name": "TERRY",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "SOLO MEMBER",
"authorized_official_telephone_number": "575-622-8118",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "NM",
"license": "1500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1790738805",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Terry Todd, DC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.