NPIMap

Organization Active NPI

Enchanted Hills Family Chiropractic

  • Chiropractor
  • Rio Rancho, NM
National Provider Identifier
1720246069
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1650 Issued in NM
Legal business name
ENCHANTED HILLS FAMILY CHIROPRACTIC
Practice address
1889 Mesa Grande Loop NE
Rio Rancho, NM 87144-0568
Phone
(505) 908-1990
Fax
(505) 867-7441
NPI assigned
May 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Dr. Jacob Gene Robinson, D.C.
Title
Owner
Phone
(505) 867-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1650 NM Primary

Addresses

Primary practice location

1889 Mesa Grande Loop NE
Rio Rancho, NM 87144-0568

Mailing address

1889 Mesa Grande Loop NE
Rio Rancho, NM 87144-0568
Phone (505) 908-1990

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1720246069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1889 MESA GRANDE LOOP NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871440568",
            "telephone_number": "505-908-1990",
            "fax_number": "505-867-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1889 MESA GRANDE LOOP NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871440568",
            "telephone_number": "505-908-1990",
            "fax_number": "505-867-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCHANTED HILLS FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-867-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

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