Organization Active NPI

Hilliard Chiropractic Center

  • Chiropractor
  • Portales, NM
National Provider Identifier
1679760649
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
480 Issued in NM
Legal business name
HILLIARD CHIROPRACTIC CENTER
Practice address
112 E 4TH St
Portales, NM 88130-6305
Phone
(505) 356-6982
Fax
(505) 356-3773
NPI assigned
Oct 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Authorized official

Name
Dr. William Kent Hilliard, DC
Title
Owner
Phone
(505) 356-6982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 480 NM Primary

Addresses

Primary practice location

112 E 4TH St
Portales, NM 88130-6305

Mailing address

112 E 4TH St
Portales, NM 88130-6305
Phone (505) 356-6982

Other identifiers 2

IdentifierTypeStateIssuer
K860OtherNMBLUECROSS/BLUESHIELD
0000K737MedicaidNM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1679760649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E 4TH ST",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881306305",
            "telephone_number": "505-356-6982",
            "fax_number": "505-356-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E 4TH ST",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881306305",
            "telephone_number": "505-356-6982",
            "fax_number": "505-356-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLIARD CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "HILLIARD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-356-6982",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "K860",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000K737",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portales, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.