JONATHON QUALLS D.C.
NPI 1710299417
Chiropractor in Aztec, NM
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
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Jonathon Qualls reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Aztec, NM 87410
- Reassigned Medicare billing, New Mexico enrollment
Durango, CO 81301
- Reassigned Medicare billing, Colorado enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organizations bill Medicare for Jonathon Qualls's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathon Qualls reassigns Medicare benefits to 2 organizations: Advanced Chiropractic Clinic LLC (Aztec, NM) and Alpine Chiropractic, LLP (Durango, CO). Each 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 Jonathon Qualls's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Jonathon Qualls, D.C. · NPI 1710299417
Chiropractor provider in Aztec, New Mexico. Individual provider, active in the CMS NPPES registry since July 9, 2010.
## Identity
- **NPI:** 1710299417 (Entity type: Individual)
- **Enumerated:** July 9, 2010
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 6549 (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1415 W AZTEC BLVD STE 4, Aztec, NM 87410-1899
- **Phone:** (505) 334-5004 · **Fax:** (970) 385-8584
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Advanced Chiropractic Clinic LLC (NPI 1013310085, Aztec, NM); Alpine Chiropractic, LLP (NPI 1285946806, Durango, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** August 9, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1710299417) · Data from the CMS NPPES public registry.