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JACK V. WATERS, D.C., P.C.
NPI 1265680094
Clinic/Center in Clovis, NM

Active since September 04, 2008
1833 W 21ST ST, CLOVIS, NM 88101(575) 763-8888(575) 763-8891 Get Directions Write a Review

NPPES record last updated: December 10, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jack V. Waters, D.c., P.c. NPPES

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

JACK V. WATERS, D.C., P.C. (NPI 1265680094) is a healthcare organization registered as a clinic/center in Clovis, New Mexico and active in the NPI registry since September 2008. The organization lists Jack V. Waters, President, as its authorized official.

NPPES Registry Identity

NPI1265680094
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameJACK V. WATERS, D.C., P.C.
Location Address1833 W 21ST STClovis, NM 88101-4023
Mailing Address1833 W 21st StClovis, NM 88101-4023 · (575) 763-8888 · Fax (575) 763-8891
Phone(575) 763-8888
Fax(575) 763-8891
Organization SubpartNo
Authorized OfficialJack V. WatersPresident · (575) 763-8888
Enumeration DateSeptember 4, 2008
Last NPPES UpdateDecember 10, 2008
✔ NPI 1265680094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in NM · 989
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1833 W 21ST ST, Clovis, NM 88101
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Other Identifiers 1

Medicare PINNMB2095NM

Other Providers at the Same Location NPPES 2

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

ASSOCIATED PHYSICIANS & PRACTITIONERS LLC
Surgery
1833 W 21ST ST
CLOVIS, NM 88101
Curry County (575) 763-5585
STEPHEN H. HAYNES MD
General Practice
1833 W 21ST ST
CLOVIS, NM 88101
Curry County (575) 763-5585

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 Jack V. Waters, D.C., P.C.'s NPI number?

The NPI number for Jack V. Waters, D.C., P.C. is 1265680094. It was assigned to this organization in the NPPES registry on September 4, 2008.

Where is Jack V. Waters, D.C., P.C. located?

Jack V. Waters, D.C., P.C. is located at 1833 W 21st St, Clovis, NM 88101. The listed phone number is (575) 763-8888.

What is Jack V. Waters, D.C., P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Jack V. Waters, D.C., P.C. was last updated on December 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.