Provider Demographics
NPI:1013041037
Name:DR. KAREN A. GENTER, PC
Entity Type:Organization
Organization Name:DR. KAREN A. GENTER, PC
Other - Org Name:HIGH DESERT CHIROPRACTIC AND WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GENTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:505-292-2226
Mailing Address - Street 1:10900 MENAUL BLVD NE
Mailing Address - Street 2:SUITE A
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-2455
Mailing Address - Country:US
Mailing Address - Phone:505-292-2226
Mailing Address - Fax:
Practice Address - Street 1:10900 MENAUL BLVD NE
Practice Address - Street 2:SUITE A
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-2455
Practice Address - Country:US
Practice Address - Phone:505-292-2226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1423111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMU68195Medicare UPIN
NM=========Medicare ID - Type Unspecified