NPIMap

Organization Active NPI

Straight Chiropractic

  • Chiropractor
  • Rio Rancho, NM
National Provider Identifier
1629225784
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1577 Issued in NM
Legal business name
STRAIGHT CHIROPRACTIC
Practice address
3301 Southern Blvd SE Ste 304
Rio Rancho, NM 87124-2087
Phone
(505) 891-2280
Fax
(505) 891-2285
NPI assigned
Aug 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Brad Fackrell
Title
Owner
Phone
(505) 891-2280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1577 NM Primary

Addresses

Primary practice location

3301 Southern Blvd SE Ste 304
Rio Rancho, NM 87124-2087

Mailing address

3301 Southern Blvd SE Ste 304
Rio Rancho, NM 87124-2087
Phone (505) 891-2280

National Provider Directory

National Provider Directory

Locations

3301 Southern Blvd SE
Ste 105
Rio Rancho, NM 87124
Phone (505) 270-0840

Practitioners & affiliated clinicians

Practitioners 4

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": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1629225784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 SOUTHERN BLVD SE STE 304",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871242087",
            "telephone_number": "505-891-2280",
            "fax_number": "505-891-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 SOUTHERN BLVD SE STE 304",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871242087",
            "telephone_number": "505-891-2280",
            "fax_number": "505-891-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRAIGHT CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "FACKRELL",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-891-2280"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.