NPIMap

Organization Active NPI

Southwest Integrative Health Center, LLC

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1083887988
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SOUTHWEST INTEGRATIVE HEALTH CENTER, LLC
Practice address
5310 Homestead Rd NE Ste 400
Albuquerque, NM 87110-1437
Phone
(505) 256-3648
Fax
(505) 256-9778
NPI assigned
Apr 11, 2008
Last updated
Jan 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Authorized official

Name
Dr. Robert JonesNPI 1790886240
Title
Partner
Phone
(505) 256-3648

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

5310 Homestead Rd NE Ste 400
Albuquerque, NM 87110-1437

Mailing address

5310 Homestead Rd NE
BLDG 400
Albuquerque, NM 87110-1437
Phone (505) 256-3648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081021000034 NM Part B Supplier - Clinic/Group Practice 6800954819 Receives reassigned benefits from 14 practitioners
Practice locations: Albuquerque, NM

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D0534863Southwest Integrative Health Center5310 Homestead NE Building 4, Albuquerque, NM 87110Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1083887988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 HOMESTEAD RD NE",
            "address_2": "BLDG 400",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101437",
            "telephone_number": "505-256-3648",
            "fax_number": "505-256-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 HOMESTEAD RD NE STE 400",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101437",
            "telephone_number": "505-256-3648",
            "fax_number": "505-256-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST INTEGRATIVE HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "505-256-3648",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.