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CANYON CHIROPRACTIC LLC
NPI 1730592072
Chiropractor in Las Vegas, NM

Active since June 04, 2014CLIA 32D2080671 · Waiver
2505 RIDGE RUNNER RD, LAS VEGAS, NM 87701(505) 425-9341(505) 672-7775 Get Directions Write a Review

NPPES record last updated: September 24, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Canyon Chiropractic Llc NPPES

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

CANYON CHIROPRACTIC LLC (NPI 1730592072) is a healthcare organization registered as a chiropractor in Las Vegas, New Mexico and active in the NPI registry since June 2014. The organization holds a CLIA Waiver certificate valid through July 10, 2028 and lists Michael A Palmer, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1730592072
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCANYON CHIROPRACTIC LLC
Location Address2505 RIDGE RUNNER RDLas Vegas, NM 87701-4972
Mailing Address2505 Ridge Runner RdLas Vegas, NM 87701-4972 · (505) 425-9341 · Fax (505) 672-7775
Phone(505) 425-9341
Fax(505) 672-7775
Organization SubpartNo
Authorized OfficialMichael A PalmerChiropractor · (505) 425-9341
Enumeration DateJune 4, 2014
Last NPPES UpdateSeptember 24, 2019
✔ NPI 1730592072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NM · 2097
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.
2505 RIDGE RUNNER RD, Las Vegas, NM 87701
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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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

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

Clinician (1)

Michael Palmer, D.C.
Chiropractic
NPI 1528496270
100 CAMINO DE RON
Las Vegas, NM 87701
(505) 425-9341
✔ Accepts Medicare15 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2080671

Canyon Chiropractic LLC · Las Vegas, NM
Active · expires Jul 10, 2028
CLIA Number32D2080671
Laboratory TypePhysician Office
Certificate Effective DateJuly 11, 2026
Certificate Expiration DateJuly 10, 2028
Laboratory DirectorMichael A. Palmer
Laboratory Phone(505) 425-9341
Laboratory LocationCanyon Chiropractic LLC2505 Ridge Runner Rd, Las Vegas, NM 87701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Canyon Chiropractic LLC's NPI number?

The NPI number for Canyon Chiropractic LLC is 1730592072. It was assigned to this organization in the NPPES registry on June 4, 2014.

Where is Canyon Chiropractic LLC located?

Canyon Chiropractic LLC is located at 2505 Ridge Runner Rd, Las Vegas, NM 87701. The listed phone number is (505) 425-9341.

What is Canyon Chiropractic LLC's specialty?

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

Is Canyon Chiropractic LLC enrolled in Medicare?

Yes. Canyon Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Canyon Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Canyon 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.

Does Canyon Chiropractic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2080671) is associated with this NPI, valid through July 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Canyon Chiropractic LLC was last updated on September 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.