David Seyedsadr
Individual provider Active NPI Case Manager/Care Coordinator · Tijeras, NM
NPI 1134965320 · NPPES record last updated Jul 8, 2024
Key facts
- NPI
- 1134965320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1 Camino Oro CT
Tijeras, NM 87059-7924 - Phone
- (505) 274-8534
- Fax
- (855) 610-2330
- NPI assigned
- Jul 8, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1 Camino Oro CT
Tijeras, NM 87059-7924
Mailing address
90 McGinnis Rd
Tijeras, NM 87059-7925
Phone (859) 312-5506
Other providers in Tijeras, NM
- Valerie R Rodgers
- Roots Eco-Therapy, LLC
- Donna E Saylor
- Teri Schafer
- Kristina Schwartz
- Francisco Silva
- Courtney Slightam
- Cathleen Snyder
- Annette Sobel
- Susan Ott Stavis
All providers in Tijeras, NM · Case Manager/Care Coordinator in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.