Active NPI
Sandia Wheelchair Solutions
- Durable Medical Equipment & Medical Supplies
- Albuquerque, NM
National Provider Identifier
1366526196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- PA0023887
- Legal business name
- SANDIA WHEELCHAIR SOLUTIONS
- Practice address
- 4431 Anaheim Ave NE Ste a
Albuquerque, NM 87113 - Phone
- (505) 883-2817
- Fax
- (505) 888-4552
- NPI assigned
- Oct 25, 2006
- 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
- Mr. Terry D Weaver
- Title
- President
- Phone
- (505) 883-2817
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PA0023887 | NM | Primary |
Addresses
Primary practice location
4431 Anaheim Ave NE Ste a
Albuquerque, NM 87113
Mailing address
4431 Anaheim Ave NE Ste a
Albuquerque, NM 87113-1580
Phone (505) 883-2817
Other practice location 1
6120 Signal NE
Albuquerque, NM 87113
Phone (505) 883-2817
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64979750 | Medicaid | NM |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1535500800000",
"number": "1366526196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4431 ANAHEIM AVE NE STE A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871131580",
"telephone_number": "505-883-2817",
"fax_number": "505-888-4552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4431 ANAHEIM AVE NE STE A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87113",
"telephone_number": "505-883-2817",
"fax_number": "505-888-4552"
}
],
"practiceLocations": [
{
"address_1": "6120 Signal NE",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "87113",
"country_code": "US",
"telephone_number": "505-883-2817",
"fax_number": "505-888-4552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SANDIA WHEELCHAIR SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2018-08-29",
"status": "A",
"authorized_official_last_name": "WEAVER",
"authorized_official_first_name": "TERRY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "505-883-2817",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NM",
"license": "PA0023887",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64979750",
"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 Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.