Active NPI
Jeremiah B Otero, HAD
- Hearing Instrument Specialist
- Santa Fe, NM
National Provider Identifier
1154961977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HAD0888
- Practice address
- 3454 Zafarano Dr Ste B
Santa Fe, NM 87507-2667 - Phone
- (505) 988-1984
- Fax
- (505) 474-3078
- NPI assigned
- Jan 9, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HAD0888 | NM | Primary |
Addresses
Primary practice location
3454 Zafarano Dr Ste B
Santa Fe, NM 87507-2667
Mailing address
3454 Zafarano Dr Ste B
Santa Fe, NM 87507-2667
Phone (505) 988-1984
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HAD0888 | NM | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandia Hearing Santa Fe, LLC | Hearing Instrument Specialist | Current | Accepting new patients |
| D&a Financial Services, LLC | Hearing Instrument Specialist | Past | Accepting new patients |
Locations
3454 Zafarano Dr
Ste B
Santa Fe, NM 87507
Phone (505) 988-1984
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hearing Instrument Specialist
- Santa Fe, NM
- NPI 1063050383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578528000000",
"number": "1154961977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3454 ZAFARANO DR STE B",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875072667",
"telephone_number": "505-988-1984",
"fax_number": "505-474-3078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3454 ZAFARANO DR STE B",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875072667",
"telephone_number": "505-988-1984",
"fax_number": "505-474-3078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTERO",
"first_name": "JEREMIAH",
"middle_name": "B",
"credential": "HAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-09",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NM",
"license": "HAD0888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.