DR. LARRY DUAINE WALTERS (NPI# 1609882265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609882265 |
| Entity Type | Individual |
| Full Name | DR. LARRY DUAINE WALTERS |
| Credential | D.C. |
| Practice Address |
6200 Coors Blvd Nw Ste A7 Albuquerque NM 87120-2794 |
| Practice Telephone | 5058990708 |
| Practice Fax Number | 5058990707 |
| Mailing Telephone | 5058990708 |
| Mailing Fax Number | 5058990707 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 422 | NM | Chiropractic Providers |
| Street Address |
6200 COORS BLVD NW STE A7 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87120-2794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992361430 | Marcos Roberto Cordova | Chiropractor | 6200 Coors Blvd Nw Ste A7, Albuquerque, NM 87120-2794 | 2019-05-09 |
| 1023024759 | Bradley Darin Walters | Chiropractor | 6200 Coors Blvd Nw Ste A7, Albuquerque, NM 87120-2794 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971919 | Erica Denise Ortiz | Social Worker | 6212 Casa Blanca Dr Nw, Albuquerque, NM 87120 | 2020-10-27 |
| 1770133589 | Laura Lee Smith | Technician | 5112 Vista De Luz Nw, Albuquerque, NM 87120 | 2019-09-13 |
| 1285282715 | Aiden Charles Martinez | Case Manager/Care Coordinator | 6704 Nueva Pierda Street Nw, Albuquerque, NM 87120 | 2019-08-28 |
| 1831753508 | Jennifer Lydia Castro | Nurse Practitioner | 8428 Hawk Eye Rd Nw, Albuquerque, NM 87120 | 2019-04-27 |
| 1518425065 | Jean Louise Ramsey | Counselor | Office Alternatives/ The Center for Life Changes, 6300 Riverside Plaza Nw, Suite 100, Albuquerque, NM 87120 | 2019-03-04 |
| 1689147365 | Stairway Recovery, LLC | Family Medicine | 6300 Riverside Plaza Ln Nw Ste 118 #96523, Albuquerque, NM 87120 | 2019-01-06 |
| 1417443276 | Kyle Thomas Lantz | Dentist | 2800-a Coors Blvd Nw, Albuquerque, NM 87120 | 2018-07-05 |
| 1437669736 | Beatrice Ottomanelli | Day Training/Habilitation Specialist | 9180 Coors Blvd. Nw, Apt. 3307, Albuquerque, NM 87120 | 2017-10-02 |
| 1740705516 | Alianza Home Care, LLC | Home Health | 8307 Casa Negra Ct Nw, Albuquerque, NM 87120 | 2017-08-13 |
| 1366963399 | Jamie Farris | Registered Nurse | 8201 Golf Course Road Northwest, Suite D3 #121, Albuquerque, NM 87120 | 2017-06-29 |
| Find all providers in zip 87120 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689295834 | Kevin Chick | Chiropractor | 2800 San Mateo Blvd Ne Ste 109, Albuquerque, NM 87110-3166 | 2020-04-29 |
| 1457994311 | Stella Aubert | Chiropractor | 2800 San Mateo Blvd Ne Ste 105, Albuquerque, NM 87110-3166 | 2019-10-23 |
| 1821630427 | Taylor Lee Eaves | Chiropractor | 7520 Montgomery Blvd Ne Bldg E, Albuquerque, NM 87109-1521 | 2019-10-15 |
| 1003463878 | Alexander David Johnson | Chiropractor | 5308 Delvitto Ct Ne, Albuquerque, NM 87111-1648 | 2019-08-26 |
| 1477028678 | Melanie Beach | Chiropractor | 8001 Wyoming Blvd Ne Ste D4, Albuquerque, NM 87113-2013 | 2018-10-04 |
| 1346768363 | Edwards Chiropractic and Natural Health Center | Chiropractor | 5300 Sequoia Rd Nw Ste 200, Albuquerque, NM 87120-1248 | 2017-08-30 |
| 1043734403 | Backbone Family Chiropractic | Chiropractor | 2901 Juan Tabo Blvd Ne Ste 121b, Albuquerque, NM 87112-1869 | 2017-07-27 |
| 1801345897 | Jacqueline Carlisle | Chiropractor | 5901 Wyoming Blvd Ne Ste V, Albuquerque, NM 87109-3859 | 2016-10-02 |
| 1164879318 | Travis Lee Mason | Chiropractor | 6308 Mesquite Dr Nw, Albuquerque, NM 87120 | 2016-05-18 |
| 1083087472 | Shaylyn Weber | Chiropractor | 2621 Coors Blvd Nw Ste D, Albuquerque, NM 87120-1729 | 2015-11-06 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87120 |
Please comment or provide details below to improve the information on DR. LARRY DUAINE WALTERS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.