Organization Active NPI

Robert V Edwards DCPC

Doing business as Edwards Chiropractic Center

  • Chiropractor
  • Albuquerque, NM
National Provider Identifier
1952580193
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1148 Issued in NM
Legal business name
ROBERT V EDWARDS DCPC
Doing business as
Edwards Chiropractic Center
Practice address
5300 Sequoia Rd NW
Suite 200
Albuquerque, NM 87120-1284
Phone
(505) 836-3771
Fax
(505) 836-5282
NPI assigned
Oct 24, 2007
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Dr. Robert V. Edwards, DC
Title
PC
Phone
(505) 836-3771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1148 NM Primary

Addresses

Primary practice location

5300 Sequoia Rd NW
Suite 200
Albuquerque, NM 87120-1284

Mailing address

5300 Sequoia Rd NW
Suite 200
Albuquerque, NM 87120-1284
Phone (505) 836-3771

Other identifiers 1

IdentifierTypeStateIssuer
NMOOKB99OtherBCBS

Other names 1

  • Edwards Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

5300 Sequoia Rd NW
Ste 200
Albuquerque, NM 87120
Phone (505) 836-3771

Practitioners & affiliated clinicians

Practitioners 3

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": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1952580193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 SEQUOIA RD NW",
            "address_2": "SUITE 200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201284",
            "telephone_number": "505-836-3771",
            "fax_number": "505-836-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 SEQUOIA RD NW",
            "address_2": "SUITE 200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201284",
            "telephone_number": "505-836-3771",
            "fax_number": "505-836-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT V EDWARDS DCPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PC",
        "authorized_official_telephone_number": "505-836-3771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NMOOKB99",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edwards Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.