Provider Demographics
NPI:1568579753
Name:TAYLOR RANCH FAMILY CHIROPRACTIC INC
Entity Type:Organization
Organization Name:TAYLOR RANCH FAMILY CHIROPRACTIC INC
Other - Org Name:DR DAVID B GREIF DC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER HEAD PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:GREIF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:505-899-6600
Mailing Address - Street 1:8625 GOLF COURSE RD NW
Mailing Address - Street 2:SUITE A2
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114
Mailing Address - Country:US
Mailing Address - Phone:505-899-6600
Mailing Address - Fax:505-899-3262
Practice Address - Street 1:8625 GOLF COURSE RD NW
Practice Address - Street 2:SUITE A2
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114
Practice Address - Country:US
Practice Address - Phone:505-899-6600
Practice Address - Fax:505-899-3262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1276111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
U50412Medicare UPIN