Individual provider Active NPI

Christopher C. Cecil, D.C., FNP

  • Orthopedic Chiropractor
  • Albuquerque, NM
National Provider Identifier
1831101021
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
1057 Issued in NM
Practice address
1415 University Blvd NE Ste a
Albuquerque, NM 87102-1716
Phone
(505) 243-1313
Fax
(505) 842-5683
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 1057 NM Primary
Family Nurse Practitioner 363LF0000X CNP-02134 NM

Addresses

Primary practice location

1415 University Blvd NE Ste a
Albuquerque, NM 87102-1716

Mailing address

1415 University Blvd NE Ste a
Albuquerque, NM 87102-1716
Phone (505) 243-1313

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160623001945 NM Practitioner - Chiropractic 6507157484 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1057NMMDOrthopedic Chiropractor
CNP-02134NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Albuquerque Neck & Back Pain Center, LLC CurrentSince Dec 1, 2015 Accepting new patients
Santa Maria P.C. Dba Caremore Chiropractic Centers PastSince May 20, 1996 Accepting new patients

Locations

1415 University Blvd NE
Ste A
Albuquerque, NM 87102
Phone (505) 243-1313

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1831101021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 UNIVERSITY BLVD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021716",
            "telephone_number": "505-243-1313",
            "fax_number": "505-842-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 UNIVERSITY BLVD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021716",
            "telephone_number": "505-243-1313",
            "fax_number": "505-842-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECIL",
        "first_name": "CHRISTOPHER",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.C., FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "NM",
            "license": "1057",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-02134",
            "primary": false
        }
    ],
    "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 Apr 8, 2015; 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.

Verify at the official NPI Registry.