Individual provider Active NPI

Lyman S Atchley, DC

  • Chiropractor
  • Albuquerque, NM
National Provider Identifier
1912911637
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
340 Issued in NM
Practice address
8004 Penn Circle NE
Albuquerque, NM 87110-7824
Phone
(505) 265-5651
Fax
(505) 268-0820
NPI assigned
Jul 28, 2006
Last updated
Oct 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 340 NM Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120418000776 NM Practitioner - Chiropractic 4981865961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
340NMMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lyman S. Atchley DC PC Chiropractor CurrentSince Feb 14, 2012 Accepting new patients
Honu LLC Chiropractor PastSince Feb 14, 2012 Accepting new patients

Locations

8004 Pennsylvania Cir NE
Albuquerque, NM 87110
Phone (505) 265-5651

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, 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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1912911637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8004 PENN CIRCLE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107824",
            "telephone_number": "505-265-5651",
            "fax_number": "505-268-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8004 PENN CIRCLE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107824",
            "telephone_number": "505-265-5651",
            "fax_number": "505-268-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATCHLEY",
        "first_name": "LYMAN",
        "middle_name": "S",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "340",
            "primary": true
        }
    ],
    "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 Oct 4, 2013; 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.