Individual provider Active NPI

Donald Roy Mitchell, BS DC

  • Chiropractor
  • Alamogordo, NM
National Provider Identifier
1801992656
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
997 Issued in NM
Practice address
901 Puerto Rico Ave
Alamogordo, NM 88310
Phone
(505) 437-0350
Fax
(505) 437-0352
NPI assigned
Sep 16, 2006
Last updated
Oct 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 997 NM Primary

Addresses

Primary practice location

901 Puerto Rico Ave
Alamogordo, NM 88310

Mailing address

901 Puerto Rico Ave
Alamogordo, NM 88310-6447
Phone (575) 437-0350

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100114000297 NM Practitioner - Chiropractic 1052452919 Receives reassigned benefits from 1 practitioner
Practice locations: Alamogordo, NM

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

901 Puerto Rico Ave
Alamogordo, NM 88310-6447
Phone (575) 437-0350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell Chiropractic Life Center Chiropractor PastSince Jan 1, 1990 Accepting new patients

Practitioners & affiliated clinicians

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.

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1801992656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 PUERTO RICO AVE",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106447",
            "telephone_number": "575-437-0350",
            "fax_number": "575-437-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 PUERTO RICO AVE",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "88310",
            "telephone_number": "505-437-0350",
            "fax_number": "505-437-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "DONALD",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "BS DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.