ADVANCED CHIROPRACTIC CLINIC LLC
NPI 1013310085
Chiropractor in Aztec, NM

Active since October 03, 2014
1415 W AZTEC BLVD, STE 4, AZTEC, NM 87410(505) 334-5004(505) 334-8077 Get Directions Write a Review

NPPES record last updated: October 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advanced Chiropractic Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED CHIROPRACTIC CLINIC LLC (NPI 1013310085) is a healthcare organization registered as a chiropractor in Aztec, New Mexico and active in the NPI registry since October 2014. The organization lists Jonathon Qualls, Chiropractic Physician/member, as its authorized official.

NPPES Registry Identity

NPI1013310085
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameADVANCED CHIROPRACTIC CLINIC LLC
Location Address1415 W AZTEC BLVD, STE 4Aztec, NM 87410-1868
Mailing Address1415 W Aztec Blvd, Ste 4Aztec, NM 87410-1868 · (505) 334-5004 · Fax (505) 334-8077
Fax(505) 334-8077
Organization SubpartNo
Authorized OfficialJonathon QuallsChiropractic Physician/member · (505) 334-5004
Enumeration DateOctober 3, 2014
NPI 1013310085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in NM · 2109
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1415 W AZTEC BLVD, Aztec, NM 87410

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
1415 W AZTEC BLVD, SUITE #4
AZTEC, NM 87410
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1415 W AZTEC BLVD, SUITE 3
AZTEC, NM 87410
Massage Therapist
1415 W AZTEC BLVD, STE 4
AZTEC, NM 87410
Chiropractor
1415 W AZTEC BLVD, #4
AZTEC, NM 87410

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Chiropractic Clinic LLC's NPI number?

The NPI number for Advanced Chiropractic Clinic LLC is 1013310085. It was assigned to this organization in the NPPES registry on October 3, 2014.

Where is Advanced Chiropractic Clinic LLC located?

Advanced Chiropractic Clinic LLC is located at 1415 W Aztec Blvd Ste 4, Aztec, NM 87410. The listed phone number is (505) 334-5004.

What is Advanced Chiropractic Clinic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Advanced Chiropractic Clinic LLC was last updated on October 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.