ROSWELL FAMILY CHIROPRACTIC AND WELLNESS PA
NPI 1427336098
Clinic/Center - Health Service in Roswell, NM

Active since July 29, 2011
100 E LINDA VISTA BLVD, ROSWELL, NM 88201(575) 623-2900 Get Directions Write a Review

NPPES record last updated: July 29, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Health Service

About ROSWELL FAMILY CHIROPRACTIC AND WELLNESS PA

This page provides the complete NPI Profile along with additional information for Roswell Family Chiropractic And Wellness Pa, a provider established in Roswell, New Mexico operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1427336098 assigned on July 2011. The practitioner's primary taxonomy code is 261QH0100X with license number 1909 (NM). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Dr. Richard Lee Glenn D.c. (Owner/physician)

NPI
1427336098 Verify this NPI
Provider Name
ROSWELL FAMILY CHIROPRACTIC AND WELLNESS PA
Entity Type
Organization
Location Address
100 E LINDA VISTA BLVD ROSWELL, NM 88201
Location Phone
(575) 623-2900
Mailing Address
100 E LINDA VISTA BLVD ROSWELL, NM 88201
Mailing Phone
(575) 623-2900
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-29-2011
Last Update Date
07-29-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities
License No.
1909
License State
NM

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. RICHARD LEE GLENN D.C.

Authorized Official Title
OWNER/PHYSICIAN
Authorized Official Phone
(575) 623-2900

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Chiropractor
100 E LINDA VISTA BLVD
ROSWELL, NM 88201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427336098, enumerated as an "organization" on July 29, 2011.

The provider is located at 100 E LINDA VISTA BLVD ROSWELL, NM 88201 and the phone number is (575) 623-2900.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.