Active NPI
Sahara Motel N M Inc
- Lodging Provider
- Albuquerque, NM
National Provider Identifier
1285840835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lodging Provider
- License
- 02493955002
- Legal business name
- SAHARA MOTEL N M INC
- Practice address
- 5915 Gibson Blvd SE
Albuquerque, NM 87108-4835 - Phone
- (505) 256-9803
- Fax
- (505) 254-1395
- NPI assigned
- May 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Xiao Ming Gong, PRESIDENT
- Title
- President
- Phone
- (505) 712-0239
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lodging Provider | 177F00000X | 02493955002 | NM | Primary |
Addresses
Primary practice location
5915 Gibson Blvd SE
Albuquerque, NM 87108-4835
Mailing address
5915 Gibson Blvd SE
Albuquerque, NM 87108-4835
Phone (505) 256-9803
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 177F00000X | Other | NM | LODGING |
National Provider Directory
National Provider DirectoryLocations
5915 Gibson Blvd SE
Albuquerque, NM 87108
Phone (505) 256-9803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213920000000",
"number": "1285840835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5915 GIBSON BLVD SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871084835",
"telephone_number": "505-256-9803",
"fax_number": "505-254-1395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5915 GIBSON BLVD SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871084835",
"telephone_number": "505-256-9803",
"fax_number": "505-254-1395"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAHARA MOTEL N M INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-14",
"last_updated": "2008-06-20",
"status": "A",
"authorized_official_last_name": "GONG",
"authorized_official_first_name": "XIAO",
"authorized_official_middle_name": "MING",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "505-712-0239",
"authorized_official_credential": "PRESIDENT"
},
"taxonomies": [
{
"code": "177F00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Lodging",
"state": "NM",
"license": "02493955002",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LODGING",
"identifier": "177F00000X",
"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 Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.