NPIMap

Organization Active NPI

Lonnie Peets PC

  • Chiropractor
  • Rio Rancho, NM
National Provider Identifier
1942333695
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1071 Issued in NM
Legal business name
LONNIE PEETS PC
Doing business as
Lifetime Chiropractic
Practice address
4111 Barbara Loop SE
Suite C1
Rio Rancho, NM 87124-1068
Phone
(505) 891-3111
Fax
(888) 289-9241
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lonnie Peets, DC
Title
Owner
Phone
(505) 891-3111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 1071 NM Primary

Addresses

Primary practice location

4111 Barbara Loop SE
Suite C1
Rio Rancho, NM 87124-1068

Mailing address

4111 Barbara Loop SE
Suite C1
Rio Rancho, NM 87124-1068
Phone (505) 891-3111

Other names 1

  • Lifetime Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031110000683 NM Part B Supplier - Clinic/Group Practice 2860305497 Receives reassigned benefits from 2 practitioners
Practice locations: Rio Rancho, NM

National Provider Directory

National Provider Directory

Locations

4111 Barbara Loop SE
Ste C1
Rio Rancho, NM 87124
Phone (505) 891-3111

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942333695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 BARBARA LOOP SE",
            "address_2": "SUITE C1",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241068",
            "telephone_number": "505-891-3111",
            "fax_number": "888-289-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 BARBARA LOOP SE",
            "address_2": "SUITE C1",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241068",
            "telephone_number": "505-891-3111",
            "fax_number": "888-289-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONNIE PEETS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEETS",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-891-3111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifetime Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.