Native Soul Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1691 Issued in NM

Legal business name

NATIVE SOUL CHIROPRACTIC LLC

Practice address

737 W Arrington St
Suite C
Farmington, NM 87401-5528

Phone

(505) 327-7476

Fax

(505) 327-7389

NPI assigned

Apr 25, 2008

Last updated

Apr 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth A Kirby, DCNPI 1255368718

Title

Member/MGR

Phone

(505) 327-7476

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth A Kirby, D.C.

  • Chiropractor
  • Farmington, NM
  • NPI 1255368718
  NPD (past) Authorized official

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1639344104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874990270",
            "telephone_number": "505-327-7476",
            "fax_number": "505-327-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 W ARRINGTON ST",
            "address_2": "SUITE C",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015528",
            "telephone_number": "505-327-7476",
            "fax_number": "505-327-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIVE SOUL CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER/MGR",
        "authorized_official_telephone_number": "505-327-7476",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Farmington, NM
• Providers in Farmington, NM by specialty
• Chiropractor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.