NPIMap

Organization Active NPI

Healing Source Chiropractic PC

  • Chiropractor
  • Las Cruces, NM
National Provider Identifier
1982753141
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1617 Issued in NM
Legal business name
HEALING SOURCE CHIROPRACTIC PC
Practice address
3961 E. Lohman Ave
Suite 22
Las Cruces, NM 88011-8272
Phone
(575) 652-3358
Fax
(575) 652-3360
NPI assigned
Jan 9, 2007
Last updated
Jan 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Authorized official

Name
Wendi C Wallin, D.C.NPI 1356383848
Title
Chiropractor
Phone
(575) 652-3358

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1617 NM Primary

Addresses

Primary practice location

3961 E. Lohman Ave
Suite 22
Las Cruces, NM 88011-8272

Mailing address

3961 E. Lohman Ave
Suite 22
Las Cruces, NM 88011-8272
Phone (575) 652-3358

National Provider Directory

National Provider Directory

Locations

621 E Llano Estacado Blvd
Clovis, NM 88101
Phone (505) 769-1700

3961 E Lohman Ave
Ste 22
Las Cruces, NM 88011
Phone (575) 652-3358

Practitioners & affiliated clinicians

Practitioners 6

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1982753141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3961 E. LOHMAN AVE",
            "address_2": "SUITE 22",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118272",
            "telephone_number": "575-652-3358",
            "fax_number": "575-652-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3961 E. LOHMAN AVE",
            "address_2": "SUITE 22",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118272",
            "telephone_number": "575-652-3358",
            "fax_number": "575-652-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING SOURCE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "WALLIN",
        "authorized_official_first_name": "WENDI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "575-652-3358",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.