Passalacqua Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1635 Issued in NM

Legal business name

PASSALACQUA CHIROPRACTIC INC

Practice address

17713 US 84/285
Santa Fe, NM 87506-2668

Phone

(505) 455-9909

Fax

(505) 455-9919

NPI assigned

Mar 29, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Damien Salvatore Passalacqua, D.C.NPI 1831281054

Title

Owner

Phone

(505) 455-9909

Specialties & licenses 1

Addresses

Other names 1

• Damien Passalacqua Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 1

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

• Damien Salvatore Passalacqua, D.C.

  • Chiropractor
  • Espanola, NM
  • NPI 1831281054
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1982067906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 TANGO RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875067148",
            "telephone_number": "505-455-9909",
            "fax_number": "505-455-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17713 US 84/285",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875062668",
            "telephone_number": "505-455-9909",
            "fax_number": "505-455-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSALACQUA CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "PASSALACQUA",
        "authorized_official_first_name": "DAMIEN",
        "authorized_official_middle_name": "SALVATORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-455-9909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Damien Passalacqua",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Salvador Parra
• Christopher Parrish, CRNA
• Melissa Marietaylor Parsons
• Mary Partlow, LCSW
• Michelle Pascale, LMT
• Sonja Passalacqua, LM
• Passport Health Holdings, LLC
• Kathleen Ohringer Paster, MSW
• Pastoral Counseling Center
• Rita Lynn Patchett, MPT

• Chiropractor in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Chiropractor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.