Healthcare Provider Details

I. General information

NPI: 1841176013
Provider Name (Legal Business Name): RISE CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1453 RIO RANCHO BLVD SE STE 2
RIO RANCHO NM
87124-1837
US

IV. Provider business mailing address

11024 MONTGOMERY BLVD NE # 310
ALBUQUERQUE NM
87111-3962
US

V. Phone/Fax

Practice location:
  • Phone: 505-225-1468
  • Fax:
Mailing address:
  • Phone: 505-225-1468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. BENJAMIN SCOTT LAFLER
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 505-506-8507