Active NPI
Reinecke Medical and Chiropractic Center
- Family Nurse Practitioner
- Roswell, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Krasimir Hristov, NP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D2161453 | Reinecke Medical and Chiropractic Center | Certificate of waiver | Feb 3, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nurse Practitioner
- Roswell, NM
- NPI 1609179761
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.