Active NPI
Kevin Chick, DC
- Chiropractor
- Albuquerque, NM
National Provider Identifier
1689295834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC2238
- Practice address
- 2800 San Mateo Blvd NE Ste 109
Albuquerque, NM 87110-3166 - Phone
- (505) 816-6885
- NPI assigned
- Apr 29, 2020
- Last updated
- Apr 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC2238 | NM | Primary |
Addresses
Primary practice location
2800 San Mateo Blvd NE Ste 109
Albuquerque, NM 87110-3166
Mailing address
4054 Sawyer Rd
Sarasota, FL 34233-1272
Phone (941) 552-1189
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC2238 | NM | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588118400000",
"number": "1689295834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4054 SAWYER RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342331272",
"telephone_number": "941-552-1189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 SAN MATEO BLVD NE STE 109",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871103166",
"telephone_number": "505-816-6885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHICK",
"first_name": "KEVIN",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-29",
"last_updated": "2020-04-29",
"certification_date": "2020-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NM",
"license": "DC2238",
"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 Apr 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.