Back and Neck Medical Care Center, LLC
NPI 1417530304 · Medical Specialty Clinic/Center · Las Cruces, NM
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Back and Neck Medical Care Center, LLC is a Medical Specialty Clinic/Center organization in Las Cruces, NM (NPI 1417530304).
Provider details
- NPI number
- 1417530304
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Glenn Waldt, Provider Owner(505) 695-1227
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Mailing address
Registry dates
- Enumerated
- 2021-04-29
- Last updated
- 2024-05-08
- Certified
- 2024-05-08
Frequently asked questions
- What is Back and Neck Medical Care Center, LLC's NPI number?
- Back and Neck Medical Care Center, LLC's National Provider Identifier (NPI) is 1417530304, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Back and Neck Medical Care Center, LLC?
- Back and Neck Medical Care Center, LLC is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Back and Neck Medical Care Center, LLC located?
- Back and Neck Medical Care Center, LLC's practice location on file with NPPES is 2803 Doral Ct, Las Cruces, NM 88011-8616.
- What is Back and Neck Medical Care Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Back and Neck Medical Care Center, LLC is (046) 984-4063.
- Does Back and Neck Medical Care Center, LLC accept Medicare?
- Back and Neck Medical Care Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Back and Neck Medical Care Center, LLC?
- The authorized official listed on Back and Neck Medical Care Center, LLC's NPPES record is Glenn Waldt, Provider Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Back and Neck Medical Care Center, LLC's NPI active?
- Yes — Back and Neck Medical Care Center, LLC's NPI (1417530304) is active in the NPPES registry as of the last update on 2024-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.