Active NPI
Elaine Adams, DC
- Chiropractor
- Albuquerque, NM
National Provider Identifier
1750385258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1079
- Practice address
- 7007 Wyoming Blvd NE
Ste E1
Albuquerque, NM 87109-3983 - Phone
- (505) 822-0306
- Fax
- (505) 822-0316
- NPI assigned
- Jun 13, 2005
- Last updated
- Nov 5, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 1079 | NM | Primary |
Addresses
Primary practice location
7007 Wyoming Blvd NE
Ste E1
Albuquerque, NM 87109-3983
Mailing address
7007 Wyoming Blvd NE
Ste E1
Albuquerque, NM 87109-3983
Phone (505) 822-0306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031125000845 | NM | Practitioner - Chiropractic | 6305740887 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1079 | NM | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194220800000",
"number": "1750385258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7007 WYOMING BLVD NE",
"address_2": "STE E1",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871093983",
"telephone_number": "505-822-0306",
"fax_number": "505-822-0316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7007 WYOMING BLVD NE",
"address_2": "STE E1",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871093983",
"telephone_number": "505-822-0306",
"fax_number": "505-822-0316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "ELAINE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-13",
"last_updated": "2007-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NM",
"license": "1079",
"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 Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.