NPIMap

Organization Active NPI

Back in Action Chiropractic, P.C.

  • Chiropractor
  • Santa Fe, NM
National Provider Identifier
1689844169
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1538 Issued in NM
Legal business name
BACK IN ACTION CHIROPRACTIC, P.C.
Practice address
1444 S Saint Francis Dr
Suite C
Santa Fe, NM 87505-4229
Phone
(505) 660-2080
NPI assigned
Mar 11, 2008
Last updated
Sep 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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

Authorized official

Name
Dr. Brian Short, D.C.NPI 1770648305
Title
Owner
Phone
(505) 660-2080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1538 NM Primary

Addresses

Primary practice location

1444 S Saint Francis Dr
Suite C
Santa Fe, NM 87505-4229

Mailing address

1444 S Saint Francis Dr
Suite C
Santa Fe, NM 87505-4229
Phone (505) 660-2080

Other identifiers 2

IdentifierTypeStateIssuer
NM00KL90OtherNMBLUE CROSS BLUE SHIELD
202021346OtherNMPRESBYTERIAN HEALTH PLAN

National Provider Directory

National Provider Directory

Locations

1444 S Saint Francis Dr
Ste C
Santa Fe, NM 87505
Phone (505) 660-2080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253232000000",
    "number": "1689844169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 S SAINT FRANCIS DR",
            "address_2": "SUITE C",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054229",
            "telephone_number": "505-660-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 S SAINT FRANCIS DR",
            "address_2": "SUITE C",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054229",
            "telephone_number": "505-660-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN ACTION CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2009-09-18",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-660-2080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NM00KL90",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH PLAN",
            "identifier": "202021346",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; 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.