NPIMap

Organization Active NPI

Bila Ashdla LLC

Doing business as Edward. J. Neidhardt MBR

  • Specialist
  • Santa Fe, NM
National Provider Identifier
1316086838
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
89267 Issued in NM
Legal business name
BILA ASHDLA LLC
Doing business as
Edward. J. Neidhardt MBR
Practice address
103 S Saint Francis Dr
Suite C
Santa Fe, NM 87501-2458
Phone
(503) 988-5667
Fax
(505) 820-1632
NPI assigned
Feb 5, 2007
Last updated
Jul 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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

Authorized official

Name
Dr. Edward Joseph Neidhardt, M.D.NPI 1114089000
Title
Psychiatrist
Phone
(505) 988-5667

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
Specialist 174400000X 89267 NM Primary

Addresses

Primary practice location

103 S Saint Francis Dr
Suite C
Santa Fe, NM 87501-2458

Mailing address

3439 NE Sandy Blvd
PMB 375
Portland, OR 97232-1959
Phone (503) 593-9875

Other identifiers 1

IdentifierTypeStateIssuer
41814MedicaidNM

Other names 1

  • Edward. J. Neidhardt MBR Doing business as

National Provider Directory

National Provider Directory

Locations

103 S Saint Francis Dr
Unit C
Santa Fe, NM 87501
Phone (505) 466-8428

Practitioners & affiliated clinicians

Practitioners 4

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": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1316086838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3439 NE SANDY BLVD",
            "address_2": "PMB 375",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321959",
            "telephone_number": "503-593-9875",
            "fax_number": "503-282-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S SAINT FRANCIS DR",
            "address_2": "SUITE C",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012458",
            "telephone_number": "503-988-5667",
            "fax_number": "505-820-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILA ASHDLA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "NEIDHARDT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "505-988-5667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "89267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41814",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edward. J. Neidhardt MBR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.