Organization Active NPI

Jemez Health, LLC

  • Acupuncturist
  • Albuquerque, NM
National Provider Identifier
1477796308
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
730 Issued in NM
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

Updated by the provider on Apr 7, 2009

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.NPI 1609955228
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)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1609955228OtherPERSONAL NPI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.