NPIMap

Organization Active NPI

Bentzco, LLC

  • Health Service Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1285958199
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
R17548 Issued in NM
Legal business name
BENTZCO, LLC
Practice address
3777 The American Rd NW
Albuquerque, NM 87114-1338
Phone
(505) 890-2185
Fax
(505) 890-2168
NPI assigned
Mar 22, 2010
Last updated
Mar 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Authorized official

Name
Mr. Melvin Bentz
Title
Co-Manager
Phone
(505) 818-8588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X R17548 NM Primary

Addresses

Primary practice location

3777 The American Rd NW
Albuquerque, NM 87114-1338

Mailing address

5 Highway 474
Algodones, NM 87001-8028

National Provider Directory

National Provider Directory
Tax ID family
Bentzco LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3777 The American Rd NW
Albuquerque, NM 87114
Phone (505) 514-5885

NPI Registry JSON

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1285958199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HIGHWAY 474",
            "city": "ALGODONES",
            "state": "NM",
            "postal_code": "870018028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3777 THE AMERICAN RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871141338",
            "telephone_number": "505-890-2185",
            "fax_number": "505-890-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENTZCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "BENTZ",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_title_or_position": "CO-MANAGER",
        "authorized_official_telephone_number": "505-818-8588",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NM",
            "license": "R17548",
            "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 Mar 22, 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.