Camille Ross Coffey, DC
Individual provider Active NPI Chiropractor · Tijeras, NM
NPI 1679439400 · NPPES record last updated Dec 24, 2025
Key facts
- NPI
- 1679439400
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC-2025-033 (NM)
- Practice address
- 11 Moss Rose LN
Tijeras, NM 87059-7946 - Phone
- (505) 503-0190
- NPI assigned
- Dec 24, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-2025-033 | NM | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Chiropractic, PC | Chiropractor | Past |
Accepting new patients |
| Anderson Chiropractic, PC | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-2025-033 | NM | Yes |
Addresses
Primary practice location
11 Moss Rose LN
Tijeras, NM 87059-7946
Mailing address
11 Moss Rose LN
Tijeras, NM 87059-7946
Other practice location 1
1942 Old US 66 Ste B
Edgewood, NM 87015-6745
Phone (505) 715-4705
Other practice location 2
4127 Montgomery Blvd NE
Albuquerque, NM 87109-1102
Phone (505) 308-8885
Other providers in Tijeras, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.