Desert Wolf Healthcare LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

DESERT WOLF HEALTHCARE LLC

Practice address

2509 Virginia St NE Ste B
Albuquerque, NM 87110-4695

Phone

(505) 318-0717

Fax

(505) 349-0803

NPI assigned

Oct 31, 2024

Last updated

Nov 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Steven Myers, DONPI 1982014718

Title

Physician

Phone

(505) 318-0717

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 1

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.

• Christopher Steven Myers, DO

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1982014718
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1366264111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 WINDMILL CT NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145605",
            "telephone_number": "505-459-7637",
            "fax_number": "505-349-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 VIRGINIA ST NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104695",
            "telephone_number": "505-318-0717",
            "fax_number": "505-349-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT WOLF HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "505-318-0717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anish Deshmukh, MD
• Nicole S. Deshmukh, MS, MD
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• Primary Care Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Primary Care Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.