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JONATHON QUALLS D.C.
NPI 1710299417
Chiropractor in Aztec, NM

Active since July 09, 2010Accepts Medicare Assignment
1415 W AZTEC BLVD STE 4, AZTEC, NM 87410(505) 334-5004(970) 385-8584 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jonathon Qualls D.c. NPPES

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

JONATHON QUALLS D.C. (NPI 1710299417) is an individual chiropractor in Aztec, New Mexico, licensed in Colorado (6549) and active in the NPI registry since July 2010. He maintains a secondary practice location in Durango and is a graduate of Other (2010).

NPPES Registry Identity

NPI1710299417
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJONATHON QUALLSCredential: D.C.
Location Address1415 W AZTEC BLVD STE 4Aztec, NM 87410-1899
Mailing Address450 S Camino Del Rio Ste 206Durango, CO 81301-6857 · (970) 385-8585 · Fax (970) 385-8584
Phone(505) 334-5004
Fax(970) 385-8584
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 9, 2010
Last NPPES UpdateAugust 9, 2023
NPPES CertifiedAugust 9, 2023
✔ NPI 1710299417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CO · 6549
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 STE 4, Aztec, NM 87410
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Other Names 1

Other Name (5)Jon Qualls D.c.

Secondary Practice Location 1

Location 1450 S Camino Del Rio Ste 206Durango, CO 81301-6857 · Phone (970) 385-8585 · Fax (970) 385-8584

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathon Qualls D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375701261
PECOS Enrollment IDI20150107001450

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
229 services51 patients

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.

TONI MARIE FARQUHARSON
Massage Therapist
1415 W AZTEC BLVD STE 4
AZTEC, NM 87410
San Juan County (505) 320-1850
AZTEC SPA AND WELLNESS
Massage Therapist
1415 W AZTEC BLVD STE 4
AZTEC, NM 87410
San Juan County (505) 320-1850

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 Jonathon Qualls's NPI number?

The NPI number for Jonathon Qualls is 1710299417. It was assigned to this individual provider in the NPPES registry on July 9, 2010. The provider is also known as Jon Qualls D.C..

Where is Jonathon Qualls located?

Jonathon Qualls practices at 1415 W Aztec Blvd Ste 4, Aztec, NM 87410. The listed phone number is (505) 334-5004.

What is Jonathon Qualls's specialty?

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

Is Jonathon Qualls enrolled in Medicare?

Yes. Jonathon Qualls is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jonathon Qualls was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.