Organization Active NPI

La Bella Spa Salon

  • Sports Physician Chiropractor
  • Albuquerque, NM
National Provider Identifier
1336555853
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
LMT2169 Issued in NM
Legal business name
LA BELLA SPA SALON
Practice address
10126 Coors Blvd NW
Albuquerque, NM 87114-4022
Phone
(505) 899-5557
NPI assigned
Jul 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Authorized official

Name
Dawn Davide
Title
Ownner
Phone
(505) 899-5557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X LMT2169 NM Primary

Addresses

Primary practice location

10126 Coors Blvd NW
Albuquerque, NM 87114-4022

Mailing address

9687 Asbury LN NW
Albuquerque, NM 87114-4344
Phone (505) 206-2378

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1336555853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9687 ASBURY LN NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144344",
            "telephone_number": "505-206-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10126 COORS BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144022",
            "telephone_number": "505-899-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA BELLA SPA SALON",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "DAVIDE",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OWNNER",
        "authorized_official_telephone_number": "505-899-5557"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NM",
            "license": "LMT2169",
            "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 Jul 3, 2014; 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.