Organization Active NPI

Sandia Injury Center LLC

  • Chiropractor
  • Albuquerque, NM
National Provider Identifier
1972044063
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2138 Issued in NM
Legal business name
SANDIA INJURY CENTER LLC
Practice address
5021 Indian School Rd NE
Suite 200
Albuquerque, NM 87110-3950
Phone
(575) 496-3128
NPI assigned
Mar 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Adam Neitzel
Title
Owner
Phone
(575) 496-3128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2138 NM Primary

Addresses

Primary practice location

5021 Indian School Rd NE
Suite 200
Albuquerque, NM 87110-3950

Mailing address

5021 Indian School Road NE
Suite 200
Albuquerque, NM 87110
Phone (575) 496-3128

National Provider Directory

National Provider Directory

Locations

5021 Indian School Rd NE
Ste 200
Albuquerque, NM 87110
Phone (575) 496-3128

NPI Registry JSON

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1972044063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 INDIAN SCHOOL ROAD NE",
            "address_2": "SUITE 200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87110",
            "telephone_number": "575-496-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 INDIAN SCHOOL RD NE",
            "address_2": "SUITE 200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103950",
            "telephone_number": "575-496-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDIA INJURY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "NEITZEL",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-496-3128"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "2138",
            "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 Mar 9, 2017; 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.