Organization Active NPI

Family First Chiropractic and Wellness Center, LLC

  • Health Service Clinic/Center
  • Farmington, NM
National Provider Identifier
1932408168
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
1885 Issued in NM
Legal business name
FAMILY FIRST CHIROPRACTIC AND WELLNESS CENTER, LLC
Practice address
6586 E Main St
Farmington, NM 87402-5122
Phone
(505) 564-2225
Fax
(505) 564-2226
NPI assigned
Mar 28, 2011
Last updated
May 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Authorized official

Name
Dr. Eric Warden Carpenter, D.C.NPI 1366741597
Title
Managing Member
Phone
(505) 564-2225

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU
Health Service Clinic/Center 261QH0100X 1885 NM Primary

Addresses

Primary practice location

6586 E Main St
Farmington, NM 87402-5122

Mailing address

6586 E Main St
Farmington, NM 87402-5122
Phone (505) 564-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110729000454 NM Part B Supplier - Clinic/Group Practice 3173791522 Receives reassigned benefits from 3 practitioners
Practice locations: Farmington, NM

National Provider Directory

National Provider Directory

Locations

2700 Farmington Ave
Bldg A
Farmington, NM 87401
Phone (505) 564-2225

6586 E Main St
Farmington, NM 87402
Phone (505) 564-2225

Practitioners & affiliated clinicians

Practitioners 4

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": "1301270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1932408168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6586 E MAIN ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874025122",
            "telephone_number": "505-564-2225",
            "fax_number": "505-564-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6586 E MAIN ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874025122",
            "telephone_number": "505-564-2225",
            "fax_number": "505-564-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST CHIROPRACTIC AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-28",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "WARDEN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "505-564-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NM",
            "license": "1885",
            "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 May 1, 2012; 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.