Edward Bernard Danvir Jr., PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A0455 Issued in NM

Practice address

1400 Silver St
Truth Or Consequences, NM 87901-1665

Phone

(505) 894-7855

Fax

(505) 894-6891

NPI assigned

Jun 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427250919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 PARWAY ST",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879011665",
            "telephone_number": "505-740-1814",
            "fax_number": "505-894-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SILVER ST",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879011665",
            "telephone_number": "505-894-7855",
            "fax_number": "505-894-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANVIR",
        "first_name": "EDWARD",
        "middle_name": "BERNARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NM",
            "license": "A0455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Colton
• Nakeia Cook
• Rita Cragun, LMSW
• Matthew Cunningham
• Alexandra Cvijanovich, M.D.
• Deborah Stubblefield (Respiratory Services)
• Bryan Cody Determan Sr., COTA
• Andres Diocares, MD
• Linda Christie Doering, DOM
• Jonathon Doherty, LPCC

• Physical Therapy Assistant in Truth Or Consequences, NM
• Providers in Truth Or Consequences, NM by specialty
• Physical Therapy Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.