Organization Active NPI

Sunrise Chiropractic LLC

  • Clinic/Center
  • Farmington, NM
National Provider Identifier
1780821512
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1699 Issued in NM
Legal business name
SUNRISE CHIROPRACTIC LLC
Doing business as
Sunrise Chiropractic LLC
Practice address
409 West Main Street
Farmington, NM 87401
Phone
(505) 324-2080
Fax
(505) 324-9464
NPI assigned
Jan 15, 2009
Organization subpart
Yes
Parent organization
SUNRISE CHIROPRACTIC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Dr. Beth Lehr Davis, DCNPI 1699912899
Title
Chiropractor/Owner
Phone
(505) 324-2880

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
Clinic/Center 261Q00000X 1699 NM Primary

Addresses

Primary practice location

409 West Main Street
Farmington, NM 87401

Mailing address

409 West Main Street
Farmington, NM 87401
Phone (505) 324-2080

Other names 1

  • Sunrise Chiropractic LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100827000530 NM Part B Supplier - Clinic/Group Practice 5496879413 Receives reassigned benefits from 1 practitioner
Practice locations: Farmington, NM

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2084017Sunrise Chiropractic LLC409 W Main Street, Farmington, NM 87401Certificate of waiverSep 16, 2026

National Provider Directory

National Provider Directory
Part of
Sunrise Chiropractic LLC

Locations

409 W Main St
Farmington, NM 87401
Phone (505) 324-2080

626 E Main St
Ste 3
Farmington, NM 87401
Phone (505) 324-2080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1780821512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 WEST MAIN STREET",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87401",
            "telephone_number": "505-324-2080",
            "fax_number": "505-324-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 WEST MAIN STREET",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87401",
            "telephone_number": "505-324-2080",
            "fax_number": "505-324-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE CHIROPRACTIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNRISE CHIROPRACTIC LLC",
        "enumeration_date": "2009-01-15",
        "last_updated": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "LEHR",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "505-324-2880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NM",
            "license": "1699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Chiropractic LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.