NPIMap

Organization Active NPI

Modern Creations Construction

  • Durable Medical Equipment & Medical Supplies
  • Albuquerque, NM
National Provider Identifier
1477920882
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
94565 Issued in NM
Legal business name
MODERN CREATIONS CONSTRUCTION
Practice address
9716 Torriso CT SW
Albuquerque, NM 87121-5280
Phone
(505) 720-8040
NPI assigned
Sep 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Ray F Baca, CONTRACTOR
Title
Owner/Contractor
Phone
(505) 720-8040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 94565 NM Primary

Addresses

Primary practice location

9716 Torriso CT SW
Albuquerque, NM 87121-5280

Mailing address

9716 Torriso CT SW
Albuquerque, NM 87121-5280
Phone (505) 720-8040

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1477920882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9716 TORRISO CT SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871215280",
            "telephone_number": "505-720-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9716 TORRISO CT SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871215280",
            "telephone_number": "505-720-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN CREATIONS CONSTRUCTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "BACA",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/CONTRACTOR",
        "authorized_official_telephone_number": "505-720-8040",
        "authorized_official_credential": "CONTRACTOR"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NM",
            "license": "94565",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 2, 2015; 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.