NPIMap

Organization Active NPI

Taos Professional Services, LLC

  • General Practice Physician
  • Taos, NM
National Provider Identifier
1235597964
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4075 Issued in NM
Legal business name
TAOS PROFESSIONAL SERVICES, LLC
Practice address
1329 Gusdorf Rd
Taos, NM 87571-6282
Phone
(575) 737-3415
Fax
(575) 737-3416
NPI assigned
Feb 9, 2016
Last updated
Feb 9, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
TAOS PROFESSIONAL SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Authorized official

Name
Mr. Bill Patten
Title
Ceo
Phone
(575) 751-5714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 4075 NM Primary

Addresses

Primary practice location

1329 Gusdorf Rd
Taos, NM 87571-6282

Mailing address

1397 Weimer Rd
Taos, NM 87571-6253
Phone (575) 751-8900

Other names 1

  • Taos Health Systems Primary Care Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130116000178 NM Part B Supplier - Clinic/Group Practice 6507019924 Receives reassigned benefits from 62 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Taos, NM

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Taos Professional Serv LLC

Locations

1331 Maestas Rd
Ste 1
Taos, NM 87571
Phone (575) 758-5001

1331 Maestas Rd
Ste 2
Taos, NM 87571
Phone (575) 751-8902

Practitioners & affiliated clinicians

Practitioners 60

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.

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1235597964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 WEIMER RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716253",
            "telephone_number": "575-751-8900",
            "fax_number": "575-751-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 GUSDORF RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716282",
            "telephone_number": "575-737-3415",
            "fax_number": "575-737-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAOS PROFESSIONAL SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TAOS PROFESSIONAL SERVICES, LLC",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "PATTEN",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-751-5714",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NM",
            "license": "4075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taos Health Systems Primary Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Taos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.