NPIMap

Organization Active NPI

Innerglow Chiropractic, L.L.C.

  • Chiropractor
  • Rio Rancho, NM
National Provider Identifier
1740428606
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1716 Issued in NM
Legal business name
INNERGLOW CHIROPRACTIC, L.L.C.
Practice address
1424 Deborah Rd SE
Suite 202a
Rio Rancho, NM 87124-1058
Phone
(505) 892-8081
Fax
(505) 892-8270
NPI assigned
Jan 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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

Authorized official

Name
Dr. Casey G Little, D.C.
Title
Owner
Phone
(505) 892-8081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1716 NM Primary

Addresses

Primary practice location

1424 Deborah Rd SE
Suite 202a
Rio Rancho, NM 87124-1058

Mailing address

1424 Deborah Rd SE
Suite 202a
Rio Rancho, NM 87124-1058
Phone (505) 892-8081

National Provider Directory

National Provider Directory

Locations

1424 Deborah Rd SE
Ste 202A
Rio Rancho, NM 87124
Phone (505) 892-8081

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1740428606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 DEBORAH RD SE",
            "address_2": "SUITE 202A",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241058",
            "telephone_number": "505-892-8081",
            "fax_number": "505-892-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 DEBORAH RD SE",
            "address_2": "SUITE 202A",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241058",
            "telephone_number": "505-892-8081",
            "fax_number": "505-892-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERGLOW CHIROPRACTIC, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-892-8081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1716",
            "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 Apr 23, 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.