PRO-ACTIVE CHIROPRACTIC LLC
NPI 1669690095
Chiropractor in Santa Fe, NM

Active since April 23, 2007
1892A PLAZA DEL SUR DR, SANTA FE, NM 87505(505) 984-0934(505) 988-8018 Get Directions Write a Review

NPPES record last updated: April 22, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pro-active Chiropractic Llc NPPES

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

PRO-ACTIVE CHIROPRACTIC LLC (NPI 1669690095) is a healthcare organization registered as a chiropractor in Santa Fe, New Mexico and active in the NPI registry since April 2007. The organization lists Peter W. Unverferth, Owner, as its authorized official.

NPPES Registry Identity

NPI1669690095
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePRO-ACTIVE CHIROPRACTIC LLC
Location Address1892A PLAZA DEL SUR DRSanta Fe, NM 87505-6043
Mailing Address1892a Plaza Del Sur DrSanta Fe, NM 87505-6043 · (505) 984-0934 · Fax (505) 988-8018
Fax(505) 988-8018
Organization SubpartNo
Authorized OfficialPeter W. UnverferthOwner · (505) 984-0934
Enumeration DateApril 23, 2007
Last NPPES UpdateApril 22, 2008
✔ NPI 1669690095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NM · 1415
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.
1892A PLAZA DEL SUR DR, Santa Fe, NM 87505

Other Identifiers 2

Medicare UPINU48830NM
Medicare PIN300521174NM

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pro-active Chiropractic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew MexicoEnrollment IDO20071127000590Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pro-Active Chiropractic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1568565125
1892 PLAZA DEL SUR DR # A
Santa Fe, NM 87505
(505) 984-0934
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Pro-Active Chiropractic LLC's NPI number?

The NPI number for Pro-Active Chiropractic LLC is 1669690095. It was assigned to this organization in the NPPES registry on April 23, 2007.

Where is Pro-Active Chiropractic LLC located?

Pro-Active Chiropractic LLC is located at 1892A Plaza Del Sur Dr, Santa Fe, NM 87505. The listed phone number is (505) 984-0934.

What is Pro-Active Chiropractic LLC's specialty?

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

Is Pro-Active Chiropractic LLC enrolled in Medicare?

Yes. Pro-Active Chiropractic LLC is registered in the Medicare PECOS enrollment system.

When is Pro-Active Chiropractic LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Mexico, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Pro-Active Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Pro-Active Chiropractic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pro-Active Chiropractic LLC was last updated on April 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.