Organization Active NPI

Reinecke Medical and Chiropractic Center

  • Family Nurse Practitioner
  • Roswell, NM
National Provider Identifier
1992291850
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
REINECKE MEDICAL AND CHIROPRACTIC CENTER
Practice address
400 E College Blvd Ste E
Roswell, NM 88201-7570
Phone
(575) 623-3155
Fax
(575) 623-3677
NPI assigned
Jul 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Krasimir Hristov, NPNPI 1013296938
Title
Owner
Phone
(773) 837-0915

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

400 E College Blvd Ste E
Roswell, NM 88201-7570

Mailing address

602 E College Blvd
Roswell, NM 88201-7529
Phone (575) 623-3155

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180924001564 NM Part B Supplier - Clinic/Group Practice 2769733104 Receives reassigned benefits from 2 practitioners
Practice locations: Roswell, NM

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2161453Reinecke Medical and Chiropractic Center400 E College Blvd Ste E, Roswell, NM 88201Certificate of waiverFeb 3, 2027

National Provider Directory

National Provider Directory

Locations

400 E College Blvd
Ste E
Roswell, NM 88201
Phone (575) 623-3155

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": "1530576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1992291850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 E COLLEGE BLVD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882017529",
            "telephone_number": "575-623-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E COLLEGE BLVD STE E",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882017570",
            "telephone_number": "575-623-3155",
            "fax_number": "575-623-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REINECKE MEDICAL AND CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-03",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "HRISTOV",
        "authorized_official_first_name": "KRASIMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-837-0915",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.