NPIMap

Organization Active NPI

Red Phoenix Acupuncture LLC

  • Acupuncturist
  • Rio Rancho, NM
National Provider Identifier
1023267002
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
906 Issued in NM
Legal business name
RED PHOENIX ACUPUNCTURE LLC
Practice address
4041 Barbara Loop SE
Suite a
Rio Rancho, NM 87124-1065
Phone
(505) 896-6965
NPI assigned
Sep 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amy Bonnett, DOM
Title
Owner
Phone
(505) 896-6965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 906 NM Primary

Addresses

Primary practice location

4041 Barbara Loop SE
Suite a
Rio Rancho, NM 87124-1065

Mailing address

4041 Barbara Loop SE
Suite a
Rio Rancho, NM 87124-1065
Phone (505) 896-6965

National Provider Directory

National Provider Directory

Locations

4041 Barbara Loop SE
Ste A
Rio Rancho, NM 87124
Phone (505) 891-1500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1023267002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 BARBARA LOOP SE",
            "address_2": "SUITE A",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241065",
            "telephone_number": "505-896-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 BARBARA LOOP SE",
            "address_2": "SUITE A",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241065",
            "telephone_number": "505-896-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED PHOENIX ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "BONNETT",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-896-6965",
        "authorized_official_credential": "DOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.