Organization Active NPI

Health Quest Wellness Central LLC

  • Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1235531468
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1574 Issued in NM
Legal business name
HEALTH QUEST WELLNESS CENTRAL LLC
Practice address
723 Silver Ave SW Ste L1
Albuquerque, NM 87102-3018
Phone
(505) 200-9937
NPI assigned
Sep 18, 2014
Last updated
Sep 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Authorized official

Name
Dr. Allen R Miner, D.C.
Title
Director
Phone
(505) 433-4646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1574 NM Primary

Addresses

Primary practice location

723 Silver Ave SW Ste L1
Albuquerque, NM 87102-3018

Mailing address

PO Box 90338
Albuquerque, NM 87199-0338
Phone (505) 200-9937

Other identifiers 1

IdentifierTypeStateIssuer
1407052467OtherNMINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

723 Silver Ave SW
Ste L1
Albuquerque, NM 87102
Phone (505) 200-9937

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1235531468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90338",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871990338",
            "telephone_number": "505-200-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 SILVER AVE SW STE L1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023018",
            "telephone_number": "505-200-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH QUEST WELLNESS CENTRAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "MINER",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "505-433-4646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NM",
            "license": "1574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1407052467",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.