Active NPI
Darcy Pope Wyatt, D.C.
- Chiropractor
- Clovis, NM
National Provider Identifier
1992874622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1531
- Practice address
- 1120 E Manana
Clovis, NM 88101 - Phone
- (505) 742-2117
- Fax
- (505) 769-1010
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1531 | NM | Primary |
| Chiropractor | 111N00000X | 9124 | TX |
Addresses
Primary practice location
1120 E Manana
Clovis, NM 88101
Mailing address
1120 E Manana
Clovis, NM 88101
Phone (505) 742-2117
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC5428 | Other | NM | MEDICARE-RAILROAD |
Other names 1
- Ms. Darcy Alaine Pope
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9124 | TX | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481760000000",
"number": "1992874622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 E MANANA",
"city": "CLOVIS",
"state": "NM",
"postal_code": "88101",
"telephone_number": "505-742-2117",
"fax_number": "505-769-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 E MANANA",
"city": "CLOVIS",
"state": "NM",
"postal_code": "88101",
"telephone_number": "505-742-2117",
"fax_number": "505-769-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYATT",
"first_name": "DARCY",
"middle_name": "POPE",
"name_prefix": "Mrs.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2016-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NM",
"license": "1531",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "9124",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE-RAILROAD",
"identifier": "DC5428",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DARCY",
"last_name": "POPE",
"middle_name": "ALAINE",
"prefix": "MS.",
"credential": "D.C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Clovis, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.