Doug Pendergrass, D.C.
Chiropractor · Flora Vista, NM
Practice location
12 Road 3540Flora Vista, NM 87415-9601
- Phone
- (505) 860-0862
- Fax
- (505) 860-0862
NPI record
- NPI
- 1902942352
- Entity type
- Individual (Type 1)
- Enumeration date
- January 30, 2007
- Last updated
- December 30, 2015
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X |
1679 | NM |
About Dr. Pendergrass
Doug Pendergrass, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 12 Road 3540, Flora Vista, NM 87415-9601. The NPI number 1902942352 was assigned on January 30, 2007 and the record was last updated on December 30, 2015.
Dr. Pendergrass lists a license in the registry: #1679 (NM) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Doug Pendergrass, D.C.?
The NPI number is 1902942352.
What is the phone number of Dr. Pendergrass?
The phone number listed for the practice location is (505) 860-0862.
Where is Dr. Pendergrass located?
12 Road 3540, Flora Vista, NM 87415-9601.
What is the taxonomy code for Dr. Pendergrass?
The primary taxonomy code is 111N00000X – Chiropractor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.