Organization Active NPI

Current Edge LLC

  • Home Modifications Contractor
  • Albuquerque, NM
National Provider Identifier
1285105932
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
Legal business name
CURRENT EDGE LLC
Practice address
9723 Menaul Blvd NE
Albuquerque, NM 87112-2363
Phone
(505) 886-2025
Fax
(505) 718-4976
NPI assigned
Dec 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Authorized official

Name
Mr. Ronal Samp Jr.
Title
President
Phone
(505) 886-2025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171WH0202X Primary

Addresses

Primary practice location

9723 Menaul Blvd NE
Albuquerque, NM 87112-2363

Mailing address

9723 Menaul Blvd NE
Albuquerque, NM 87112-2363
Phone (505) 886-2025

Other identifiers 1

IdentifierTypeStateIssuer
33437572MedicaidNM

National Provider Directory

National Provider Directory

Locations

9723 Menaul Blvd NE
Albuquerque, NM 87112
Phone (505) 886-2025

NPI Registry JSON

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544140800000",
    "number": "1285105932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9723 MENAUL BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122363",
            "telephone_number": "505-886-2025",
            "fax_number": "505-718-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9723 MENAUL BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122363",
            "telephone_number": "505-886-2025",
            "fax_number": "505-718-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURRENT EDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-07",
        "status": "A",
        "authorized_official_last_name": "SAMP",
        "authorized_official_first_name": "RONAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-886-2025",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33437572",
            "state": "NM"
        }
    ],
    "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 Dec 7, 2018; 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.