Organization Active NPI

Act Chiropractic LLC

  • Chiropractor
  • Carlsbad, NM
National Provider Identifier
1831390939
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1428 Issued in NM
Legal business name
ACT CHIROPRACTIC LLC
Practice address
710 N Canal St
Carlsbad, NM 88220-5808
Phone
(505) 887-3263
Fax
(505) 887-6296
NPI assigned
May 29, 2007
Last updated
Jul 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Mr. Andrew Clin Twitchell, D.C.NPI 1508948266
Title
Chiropractic
Phone
(505) 887-3263

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
Chiropractor 111N00000X 1428 NM Primary

Addresses

Primary practice location

710 N Canal St
Carlsbad, NM 88220-5808

Mailing address

710 N Canal St
Carlsbad, NM 88220-5808
Phone (505) 887-3263

Other identifiers 3

IdentifierTypeStateIssuer
1831390939OtherNMBLUECROSS BLUE SHIELD
A2866MedicaidNM
1508948266OtherNMINDIVIDUAL NPI NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040430001169 NM Part B Supplier - Clinic/Group Practice 1951399864 Receives reassigned benefits from 1 practitioner
Practice locations: Carlsbad, NM

National Provider Directory

National Provider Directory

Locations

710 N Canal St
Carlsbad, NM 88220
Phone (505) 887-3263

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.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1831390939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N CANAL ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205808",
            "telephone_number": "505-887-3263",
            "fax_number": "505-887-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N CANAL ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205808",
            "telephone_number": "505-887-3263",
            "fax_number": "505-887-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "TWITCHELL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "CLIN",
        "authorized_official_title_or_position": "CHIROPRACTIC",
        "authorized_official_telephone_number": "505-887-3263",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "1831390939",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A2866",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1508948266",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.