Individual provider Active NPI

Kanayo Chiemelu

  • Vehicle Modifications Contractor
  • Albuquerque, NM
National Provider Identifier
1265673529
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vehicle Modifications ContractorTaxonomy code 171WV0202X
Practice address
3200 Coors Blvd NW
Ste J
Albuquerque, NM 87120-1269
Phone
(505) 459-5757
Fax
(505) 884-4449
NPI assigned
Mar 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vehicle Modifications Contractor 171WV0202X Primary
Driver 172A00000X

Addresses

Primary practice location

3200 Coors Blvd NW
Ste J
Albuquerque, NM 87120-1269

Mailing address

3200 Coors Blvd NW
Ste J
Albuquerque, NM 87120-1269
Phone (505) 459-5757

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

NPI Registry JSON

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237248000000",
    "number": "1265673529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 COORS BLVD NW",
            "address_2": "STE J",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201269",
            "telephone_number": "505-459-5757",
            "fax_number": "505-884-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 COORS BLVD NW",
            "address_2": "STE J",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201269",
            "telephone_number": "505-459-5757",
            "fax_number": "505-884-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIEMELU",
        "first_name": "KANAYO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WV0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Vehicle Modifications",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 17, 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.