Clovis Chiropractic & Healthcare Center PA

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

1617 Issued in NM

Legal business name

CLOVIS CHIROPRACTIC & HEALTHCARE CENTER PA

Practice address

3001 N Prince St
Clovis, NM 88101-3827

Phone

(575) 769-1700

Fax

(575) 769-1704

NPI assigned

Oct 8, 2008

Last updated

Oct 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wendi C Wallin, DCNPI 1356383848

Title

Chiropractor

Phone

(575) 769-1700

Specialties & licenses 1

Addresses

Locations

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.

• Wendi Cheree Wallin, DC

  • Chiropractor
  • Las Cruces, NM
  • NPI 1356383848
  NPD (past) Authorized official

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1710138706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 N PRINCE",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "88101",
            "telephone_number": "575-769-1700",
            "fax_number": "575-769-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 N PRINCE ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881013827",
            "telephone_number": "575-769-1700",
            "fax_number": "575-769-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVIS CHIROPRACTIC & HEALTHCARE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "WALLIN",
        "authorized_official_first_name": "WENDI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "575-769-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NM",
            "license": "1617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Clark, PROV LMSW
• Kimberly D Clark, MS, CCC-SLP
• Cash A Clifton, LMHC
• Clovis Brace Shop
• Clovis Cardiology Associates LLC (Clovis Cardiology Associates)
• Clovis Dermatology PA
• Clovis Family Dentistry, LLC
• Clovis Family Health Care
• Clovis Family Health Care Center LLC
• Clovis Family Health Care Center LLC

• Sports Physician Chiropractor in Clovis, NM
• Providers in Clovis, NM by specialty
• Sports Physician Chiropractor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.