Lyman S Atchley, DC
Individual provider Active NPI Chiropractor · Albuquerque, NM
NPI 1912911637 · NPPES record last updated Oct 4, 2013
Key facts
- NPI
- 1912911637
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 340 (NM)
- Practice address
- 8004 Penn Circle NE
Albuquerque, NM 87110-7824 - Phone
- (505) 265-5651
- Fax
- (505) 268-0820
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1965
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
8004 Pennsylvania Circle NE
Albuquerque, NM 87110-7824
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120418000776 | NM | Practitioner - Chiropractic | 4981865961 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 340 | NM | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lyman S. Atchley DC PC | Chiropractor | Current |
Accepting new patients |
| Honu LLC | Chiropractor | Past |
Accepting new patients |
Locations
8004 Pennsylvania Cir NE
Albuquerque, NM 87110
Phone (505) 265-5651
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 340 | NM | Yes |
Addresses
Primary practice location
8004 Penn Circle NE
Albuquerque, NM 87110-7824
Mailing address
8004 Penn Circle NE
Albuquerque, NM 87110-7824
Phone (505) 265-5651
Other providers in Albuquerque, NM
- At Home Advocacy, Inc
- At Home Not Alone Care, LLC
- Gwenn Atanasoff
- Atc Homecare, Inc.
- Derek Scott Atchley
- Atemreeddds Inc
- Kyle Paul Atencio-Crespin
- Kimberly Kristin Atencio-Valentine
- Andrea Atencio
- Arlette Marie Atencio
All providers in Albuquerque, NM · Chiropractor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.