Organization Active NPI

Ensync Health and Wellness, LLC

  • Internal Medicine Physician
  • Rio Rancho, NM
National Provider Identifier
1417780941
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ENSYNC HEALTH AND WELLNESS, LLC
Practice address
2101 Golf Course Rd SE Ste C
Rio Rancho, NM 87124-1760
Phone
(505) 312-5765
Fax
(888) 981-4950
NPI assigned
Aug 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Dr. Jeremy Ross Durling, MD
Title
Owner/Medical Director
Phone
(505) 312-5765

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2101 Golf Course Rd SE Ste C
Rio Rancho, NM 87124-1760

Mailing address

2101 Golf Course Rd SE Ste C
Rio Rancho, NM 87124-1760
Phone (505) 312-5765

National Provider Directory

National Provider Directory

Locations

2101 Golf Course Rd SE
Ste C
Rio Rancho, NM 87124
Phone (505) 312-5765

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1417780941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 GOLF COURSE RD SE STE C",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241760",
            "telephone_number": "505-312-5765",
            "fax_number": "888-981-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 GOLF COURSE RD SE STE C",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241760",
            "telephone_number": "505-312-5765",
            "fax_number": "888-981-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENSYNC HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "DURLING",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "505-312-5765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.