NPIMap

Organization Active NPI

DRS Lahiri and Mesibov, LLC

  • Primary Care Clinic/Center
  • Los Alamos, NM
National Provider Identifier
1154569135
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
PA2008-0049 Issued in NM
Legal business name
DRS LAHIRI AND MESIBOV, LLC
Practice address
118 Central Park SQ
Los Alamos, NM 87544-4021
Phone
(505) 662-4798
Fax
(505) 661-9637
NPI assigned
Jan 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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

Authorized official

Name
David Mesibov, M.D.
Title
Medical Doctor
Phone
(505) 661-9637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X PA2008-0049 NM Primary

Addresses

Primary practice location

118 Central Park SQ
Los Alamos, NM 87544-4021

Mailing address

118 Central Park SQ
Los Alamos, NM 87544-4021
Phone (505) 662-4798

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1154569135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CENTRAL PARK SQ",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875444021",
            "telephone_number": "505-662-4798",
            "fax_number": "505-661-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 CENTRAL PARK SQ",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875444021",
            "telephone_number": "505-662-4798",
            "fax_number": "505-661-9637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS LAHIRI AND MESIBOV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "MESIBOV",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "505-661-9637",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NM",
            "license": "PA2008-0049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; 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.