Organization Active NPI

Raburn Family Chiropractic LLC

  • Chiropractor
  • Artesia, NM
National Provider Identifier
1629378757
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1874 Issued in NM
Legal business name
RABURN FAMILY CHIROPRACTIC LLC
Practice address
311 W Main St
Artesia, NM 88210-2160
Phone
(575) 736-3120
Fax
(575) 736-3122
NPI assigned
Oct 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Authorized official

Name
Dr. Justin Shane Raburn, D.C.NPI 1538479878
Title
Chiropractor/Owner
Phone
(575) 736-3120

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 1874 NM Primary

Addresses

Primary practice location

311 W Main St
Artesia, NM 88210-2160

Mailing address

501 W Dallas Ave
Artesia, NM 88210-2001
Phone (575) 736-3120

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110714000841 NM Part B Supplier - Clinic/Group Practice 2365610441 Receives reassigned benefits from 1 practitioner
Practice locations: Artesia, NM

National Provider Directory

National Provider Directory

Locations

311 W Main St
Artesia, NM 88210
Phone (575) 736-3120

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": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1629378757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W DALLAS AVE",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882102001",
            "telephone_number": "575-736-3120",
            "fax_number": "575-736-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W MAIN ST",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882102160",
            "telephone_number": "575-736-3120",
            "fax_number": "575-736-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RABURN FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "RABURN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "575-736-3120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.

Verify at the official NPI Registry.