Mark R Mudd, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2150 Issued in NM

Practice address

3850 E Lohman Ave
Las Cruces, NM 88011-8288

Phone

(575) 521-0793

NPI assigned

Oct 21, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Millennium Health & Wellness Inc

  dba Millennium Health & Wellness

  • Family Nurse Practitioner
  • Las Cruces, NM
  • NPI 1356453328

  Chiropractor

  Medicare reassignment NPD
• Health First Chiropractic

  • Chiropractor
  • Santa Teresa, NM
  • NPI 1760236418
  NPD Authorized official

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1689125866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LIVINGSTON LOOP STE C2",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089753",
            "telephone_number": "915-875-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 E LOHMAN AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118288",
            "telephone_number": "575-521-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDD",
        "first_name": "MARK",
        "middle_name": "R",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-21",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "2150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain View Regional
• Ashley Danielle Moya
• Monica Hilda Moya, M.D.
• Ashley Moziejko, RN
• Stanley Jason Muchnikoff, PHARMD
• Darlene Frances Mueller
• Miracle Muff
• Noor Muhyi, DMD
• Fistume Mulatu, PHARMD
• Lisa Mulholland, LCSW

• Chiropractor in Las Cruces, NM
• Providers in Las Cruces, 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 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.