The Chiropractic Care Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

NM1472 Issued in NM

Legal business name

THE CHIROPRACTIC CARE CENTER PC

Practice address

3100 Carlisle Blvd NE
Ste B
Albuquerque, NM 87110-1615

Phone

(505) 888-4533

Fax

(505) 888-0179

NPI assigned

Jan 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Terence Lee Timm, DC

Title

President

Phone

(505) 888-4533

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Terence L Timm DC Former legal business name

Locations

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1679543540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CARLISLE BLVD NE",
            "address_2": "STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101615",
            "telephone_number": "505-888-4533",
            "fax_number": "505-888-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CARLISLE BLVD NE",
            "address_2": "STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101615",
            "telephone_number": "505-888-4533",
            "fax_number": "505-888-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHIROPRACTIC CARE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "TIMM",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-888-4533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "NM1472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN",
            "identifier": "201035665",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "KC93",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terence L Timm DC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.