Organization Active NPI

One Complete Care Aesthetics LLC

Doing business as 1CC Aesthetics

  • Family Medicine Physician
  • Santa Teresa, NM
National Provider Identifier
1174363444
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ONE COMPLETE CARE AESTHETICS LLC
Doing business as
1CC Aesthetics
Practice address
5290 McNutt Rd Ste 103
Santa Teresa, NM 88008-9648
Phone
(575) 650-6883
NPI assigned
May 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Authorized official

Name
Rosemary Estebes, NP
Title
Owner
Phone
(575) 650-6883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5290 McNutt Rd Ste 103
Santa Teresa, NM 88008-9648

Mailing address

5290 McNutt Rd Ste 103
Santa Teresa, NM 88008-9648
Phone (575) 650-6883

Other names 1

  • 1CC Aesthetics Doing business as

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
32D2309937One Complete Care Aesthetics LLC5290 McNutt Rd Suite 103, Santa Teresa, NM 88008Provider-performed microscopyAug 22, 2026

National Provider Directory

National Provider Directory

Locations

5290 McNutt Rd
Ste 103
Santa Teresa, NM 88008
Phone (575) 650-6883

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1716595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1174363444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 MCNUTT RD STE 103",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089648",
            "telephone_number": "575-650-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 MCNUTT RD STE 103",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089648",
            "telephone_number": "575-650-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE COMPLETE CARE AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-25",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "ESTEBES",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-650-6883",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1CC Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Teresa, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.