OrganizationActive
Jack V. Waters, D.C., P.C.
NPI 1265680094 · Clinic/Center · Clovis, NM
Provider details
- NPI number
- 1265680094
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jack Waters, President(575) 763-8888
- License
- 989 (NM)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1833 W 21st St
Clovis, NM 88101-4023
Phone: (575) 763-8888
Fax: (575) 763-8891
Street-level locationGet directions
Mailing address
1833 W 21st St
Clovis, NM 88101-4023
Registry dates
- Enumerated
- 2008-09-04
- Last updated
- 2008-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.