NPIMap

Organization Active NPI

Sandia Mountain Acupuncture, LLC

  • Acupuncturist
  • Albuquerque, NM
National Provider Identifier
1255667549
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1008 Issued in NM
Legal business name
SANDIA MOUNTAIN ACUPUNCTURE, LLC
Practice address
3500 Comanche Rd NE
Building E, Suite 13
Albuquerque, NM 87107-4546
Phone
(505) 702-7675
NPI assigned
Oct 22, 2009
Last updated
Oct 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Authorized official

Name
Matthew G. KreitzerNPI 1932436599
Title
Owner
Phone
(505) 702-7675

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 1008 NM Primary

Addresses

Primary practice location

3500 Comanche Rd NE
Building E, Suite 13
Albuquerque, NM 87107-4546

Mailing address

7217 Yorktown Ave NE
Albuquerque, NM 87109-5046

National Provider Directory

National Provider Directory

Locations

3500 Comanche Rd NE
Ste E13
Albuquerque, NM 87107
Phone (505) 702-7675

Practitioners & affiliated clinicians

Practitioners 1

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": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1255667549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7217 YORKTOWN AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 COMANCHE RD NE",
            "address_2": "BUILDING E, SUITE 13",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074546",
            "telephone_number": "505-702-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDIA MOUNTAIN ACUPUNCTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "KREITZER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-702-7675"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "1008",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 22, 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.