SM Gantz OT Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SM GANTZ OT SERVICES

Practice address

1485 N Main St Ste a
Las Cruces, NM 88001-1182

Phone

(575) 288-1969

Fax

(575) 532-9539

NPI assigned

Oct 7, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Bryan Keith Gantz, NCG

Title

Guardian/Owner

Phone

(575) 312-0120

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shadow Rock Care Services Doing business as

Locations

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1275174658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13907",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880133907",
            "telephone_number": "575-288-1969",
            "fax_number": "575-532-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 N MAIN ST STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011182",
            "telephone_number": "575-288-1969",
            "fax_number": "575-532-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SM GANTZ OT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "GANTZ",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "GUARDIAN/OWNER",
        "authorized_official_telephone_number": "575-312-0120",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NCG"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFIED GUARDIAN",
            "identifier": "0000082220",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shadow Rock Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mia Nicole Slagle
• Joseph William Slaughter, D.D.S.
• Shonda Marie Slavec, MS RD LD
• Sleep Lab of Las Cruces LLC
• Belinda Sliger
• Maureen Smallidge, R.D.
• Smart Care, Inc.
• Smartmed Billing Solutions, LLC
• Tammy D Smelker, RN/BSN
• Kimberly Ann Smetzer, LLCP

• Case Management Agency in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Case Management Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.