NPIMap

Organization Active NPI

Canyon Light Inc.

  • Community/Behavioral Health Agency
  • Alamogordo, NM
National Provider Identifier
1275842478
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CANYON LIGHT INC.
Practice address
1301 Cuba Ave
Alamogordo, NM 88310-5727
Phone
(575) 437-2453
Fax
(575) 443-1504
NPI assigned
Oct 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Authorized official

Name
Mr. John P Baldonado, L.A.D.A.C.NPI 1174652507
Title
Owner/President
Phone
(575) 430-6913

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NM Primary

Addresses

Primary practice location

1301 Cuba Ave
Alamogordo, NM 88310-5727

Mailing address

PO Box 114
Alamogordo, NM 88311-0114
Phone (575) 437-2453

National Provider Directory

National Provider Directory

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": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1275842478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 114",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883110114",
            "telephone_number": "575-437-2453",
            "fax_number": "575-443-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CUBA AVE",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105727",
            "telephone_number": "575-437-2453",
            "fax_number": "575-443-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON LIGHT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "BALDONADO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "575-430-6913",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.A.D.A.C."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.