Active NPI
Tieraona Low Dog, MD
- General Practice Physician
- Santa Fe, NM
National Provider Identifier
1457583049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 98-321
- Practice address
- 3600 Cerrillos Rd
Suite 712
Santa Fe, NM 87507-2612 - Phone
- (505) 424-0613
- NPI assigned
- Aug 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 98-321 | NM | Primary |
Addresses
Primary practice location
3600 Cerrillos Rd
Suite 712
Santa Fe, NM 87507-2612
Mailing address
3600 Cerrillos Rd
Suite 712
Santa Fe, NM 87507-2612
Phone (505) 424-0613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98-321 | NM | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen P Weiss | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Albuquerque, NM
- NPI 1679755805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250208000000",
"number": "1457583049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 CERRILLOS RD",
"address_2": "SUITE 712",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875072612",
"telephone_number": "505-424-0613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 CERRILLOS RD",
"address_2": "SUITE 712",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875072612",
"telephone_number": "505-424-0613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOW DOG",
"first_name": "TIERAONA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-14",
"last_updated": "2009-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NM",
"license": "98-321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.