Advanced Chiropractic Clinic LLC
NPI 1013310085ActiveOrganization· Chiropractor· Aztec, NM
Chiropractor in Aztec, New Mexico, registered in NPPES in October 2014. The authorized official on file is Jonathon Qualls, DC, Chiropractic Physician/Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1013310085 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 3, 2014 |
| Last updated in NPPES | Oct 3, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 2109 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NM) |
|---|
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