Active NPI
Jemez Health, LLC
- Acupuncturist
- Albuquerque, NM
National Provider Identifier
1477796308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 730
- Legal business name
- JEMEZ HEALTH, LLC
- Practice address
- 4010 Carlisle Blvd NE
Suite B
Albuquerque, NM 87107-4532 - Phone
- (505) 220-2321
- NPI assigned
- Apr 7, 2009
- 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
- Dr. John Heuertz, D.O.M., L.AC.
- Title
- Owner
- Phone
- (505) 220-2321
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 730 | NM | Primary |
Addresses
Primary practice location
4010 Carlisle Blvd NE
Suite B
Albuquerque, NM 87107-4532
Mailing address
4010 Carlisle Blvd NE
Suite B
Albuquerque, NM 87107-4532
Phone (505) 220-2321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609955228 | Other | PERSONAL NPI |
National Provider Directory
National Provider DirectoryLocations
4010 Carlisle Blvd NE
Ste B
Albuquerque, NM 87107
Phone (505) 220-2321
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Albuquerque, NM
- NPI 1609955228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239062400000",
"number": "1477796308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4010 CARLISLE BLVD NE",
"address_2": "SUITE B",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871074532",
"telephone_number": "505-220-2321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 CARLISLE BLVD NE",
"address_2": "SUITE B",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871074532",
"telephone_number": "505-220-2321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEMEZ HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-07",
"last_updated": "2009-04-07",
"status": "A",
"authorized_official_last_name": "HEUERTZ",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-220-2321",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O.M., L.AC."
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "NM",
"license": "730",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL NPI",
"identifier": "1609955228",
"state": null
}
],
"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 Apr 7, 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.