NPIMap

Organization Active NPI

New Traditions TCM Herbs & Clinic, LLC

  • Acupuncturist
  • Albuquerque, NM
National Provider Identifier
1265739841
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
350 Issued in NM
Legal business name
NEW TRADITIONS TCM HERBS & CLINIC, LLC
Practice address
1925 Juan Tabo Blvd NE Ste E
Albuquerque, NM 87112-3359
Phone
(505) 291-8017
NPI assigned
Feb 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Gary Allen, DOMNPI 1780776690
Title
Owner/Manager
Phone
(505) 291-8017

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 350 NM Primary

Addresses

Primary practice location

1925 Juan Tabo Blvd NE Ste E
Albuquerque, NM 87112-3359

Mailing address

1925 Juan Tabo Blvd NE Ste E
Albuquerque, NM 87112-3359
Phone (505) 291-8017

National Provider Directory

National Provider Directory

Locations

1925 Juan Tabo Blvd NE
Ste E
Albuquerque, NM 87112
Phone (505) 291-8017

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": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1265739841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 JUAN TABO BLVD NE STE E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871123359",
            "telephone_number": "505-291-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 JUAN TABO BLVD NE STE E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871123359",
            "telephone_number": "505-291-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW TRADITIONS TCM HERBS & CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "505-291-8017",
        "authorized_official_credential": "DOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "350",
            "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 Feb 17, 2011; 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.