Active NPI
John D. Patrick, D.C.
- Sports Physician Chiropractor
- Las Cruces, NM
National Provider Identifier
1932147105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 1140
- Practice address
- 3850 E Lohman Ave
Ste 100
Las Cruces, NM 88011-8288 - Phone
- (575) 521-0793
- Fax
- (575) 532-7172
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 1140 | NM | Primary |
Addresses
Primary practice location
3850 E Lohman Ave
Ste 100
Las Cruces, NM 88011-8288
Mailing address
3850 E Lohman Ave
Ste 100
Las Cruces, NM 88011-8288
Phone (575) 521-0793
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K-219 | Other | NM | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 10TH St
Alamogordo, NM 88310-4904
Phone (575) 434-1455
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1140 | NM | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precure Chiropractic Clinic, P.C. | Current | Accepting new patients | |
| May Chiropractic Clinic P C | Past | Accepting new patients | |
| Precure Investments LLC | Past | Accepting new patients |
Locations
2001 10th St
Alamogordo, NM 88310
Phone (505) 434-1455
Organizations & group practices 3
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.
-
- Chiropractor
- Alamogordo, NM
- NPI 1679601835
-
- Clinic/Center
- Alamogordo, NM
- NPI 1558540872
-
- Chiropractor
- Alamogordo, NM
- NPI 1598223703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397606400000",
"number": "1932147105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3850 E LOHMAN AVE",
"address_2": "STE 100",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118288",
"telephone_number": "575-521-0793",
"fax_number": "575-532-7172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 E LOHMAN AVE",
"address_2": "STE 100",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118288",
"telephone_number": "575-521-0793",
"fax_number": "575-532-7172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRICK",
"first_name": "JOHN",
"middle_name": "D.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2014-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "NM",
"license": "1140",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "K-219",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.