Peptineo LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PEPTINEO LLC

Practice address

5901 Indian School Rd NE Ste 208
Albuquerque, NM 87110-5200

Phone

(855) 385-5246

NPI assigned

May 10, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Sheldon Jordan, PHDNPI 1669041737

Title

Laboratory Director

Phone

(855) 385-5246

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheldon Jordan, PHD

  • Clinical Laboratory Director (Non-physician)
  • Albuquerque, NM
  • NPI 1669041737
  NPD Authorized official

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1114501707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 INDIAN SCHOOL RD NE",
            "address_2": "STE 208",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105200",
            "telephone_number": "855-385-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 INDIAN SCHOOL RD NE STE 208",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105200",
            "telephone_number": "855-385-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEPTINEO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "855-385-5246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Pepper
• Peppermint Dental-Montgomery LLC
• Peppermint Dental-Rio Bravo LLC
• Peppermint Dental-San Mateo PLLC
• Sara Pepple, CNTP
• Anna Peralta, LMHC
• Brieann Peralta
• Joshua Ray Peralta, LMSW, LCSW-P
• Nikka Peralta
• Candace L. Percifull, APN

• Clinical Medical Laboratory in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Medical Laboratory in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.