Healthcare Provider Details

I. General information

NPI: 1710809827
Provider Name (Legal Business Name): CALEB C EDWARDS DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 SEQUOIA RD NW STE 200
ALBUQUERQUE NM
87120-1248
US

IV. Provider business mailing address

5300 SEQUOIA RD NW STE 200
ALBUQUERQUE NM
87120-1248
US

V. Phone/Fax

Practice location:
  • Phone: 505-836-3771
  • Fax:
Mailing address:
  • Phone: 505-270-2294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC-2026-0021
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: