Organization Active NPI

Sandia Wheelchair Solutions

  • Durable Medical Equipment & Medical Supplies
  • Albuquerque, NM
National Provider Identifier
1366526196
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
PA0023887 Issued in NM
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

Updated by the provider on Aug 29, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
64979750MedicaidNM

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.