Organization Active NPI

Bentley Chiropractic, PC

  • Chiropractor
  • Farmington, NM
National Provider Identifier
1881859346
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1463 Issued in NM
Legal business name
BENTLEY CHIROPRACTIC, PC
Practice address
2901 E 20TH St
Suite 105
Farmington, NM 87402-4411
Phone
(505) 564-8555
Fax
(505) 564-8556
NPI assigned
Jul 24, 2008
Last updated
Jul 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Dr. Robert T Bentley, DCNPI 1164439493
Title
President
Phone
(505) 564-8555

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 1463 NM Primary

Addresses

Primary practice location

2901 E 20TH St
Suite 105
Farmington, NM 87402-4411

Mailing address

2901 E 20TH St
Suite 105
Farmington, NM 87402-4411
Phone (505) 564-8555

National Provider Directory

National Provider Directory

Locations

2901 E 20th St
Ste 105
Farmington, NM 87402
Phone (505) 564-8555

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": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1881859346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 E 20TH ST",
            "address_2": "SUITE 105",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874024411",
            "telephone_number": "505-564-8555",
            "fax_number": "505-564-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 E 20TH ST",
            "address_2": "SUITE 105",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874024411",
            "telephone_number": "505-564-8555",
            "fax_number": "505-564-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENTLEY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "BENTLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-564-8555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.