Individual provider Active NPI

Joseph Vernon Edwards, DC

  • Chiropractor
  • Albuquerque, NM
National Provider Identifier
1629232111
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1486 Issued in NM
Practice address
5300 Sequoia Rd NW
Suite 200
Albuquerque, NM 87120-1284
Phone
(505) 836-3771
Fax
(505) 836-5282
NPI assigned
Jul 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1486 NM Primary

Addresses

Primary practice location

5300 Sequoia Rd NW
Suite 200
Albuquerque, NM 87120-1284

Mailing address

5300 Sequoia Rd NW
Suite 200
Albuquerque, NM 87120-1284
Phone (505) 836-3771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180319002765 NM Practitioner - Chiropractic 3072777325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5300 Sequoia Rd NW
Suite 200
Albuquerque, NM 87120-1248
Phone (505) 836-3771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1486NMMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Edwards Chiropractic and Natural Health Center Chiropractor CurrentSince Dec 9, 2017 Accepting new patients
Robert V Edwards DCPC Chiropractor PastSince Dec 9, 2017 Accepting new patients

Locations

5300 Sequoia Rd NW
Ste 200
Albuquerque, NM 87120
Phone (505) 836-3771

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1629232111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 SEQUOIA RD NW",
            "address_2": "SUITE 200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201284",
            "telephone_number": "505-836-3771",
            "fax_number": "505-836-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 SEQUOIA RD NW",
            "address_2": "SUITE 200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201284",
            "telephone_number": "505-836-3771",
            "fax_number": "505-836-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JOSEPH",
        "middle_name": "VERNON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-14",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.