Individual provider Active NPI

Nick Speegle, D.C.

  • Sports Physician Chiropractor
  • Albuquerque, NM
National Provider Identifier
1649686361
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
2103 Issued in NM
Practice address
4101 Paseo del Norte NE Ste 118
Albuquerque, NM 87113-2620
Phone
(505) 503-8376
Fax
(505) 312-7193
NPI assigned
Jul 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 2103 NM Primary

Addresses

Primary practice location

4101 Paseo del Norte NE Ste 118
Albuquerque, NM 87113-2620

Mailing address

4101 Paseo del Norte NE Ste 118
Albuquerque, NM 87113-2620
Phone (505) 503-8376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2103NMMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Heights Chiropractic & Sports Medicine Past Accepting new patients

Organizations & group practices 1

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": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1649686361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 PASEO DEL NORTE NE STE 118",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132620",
            "telephone_number": "505-503-8376",
            "fax_number": "505-312-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 PASEO DEL NORTE NE STE 118",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132620",
            "telephone_number": "505-503-8376",
            "fax_number": "505-312-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEEGLE",
        "first_name": "NICK",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-02",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NM",
            "license": "2103",
            "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 Aug 12, 2025; 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.