Organization Active NPI

Yort LLC

  • Dermatology Physician
  • Carlsbad, NM
National Provider Identifier
1508665563
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
YORT LLC
Practice address
2405 W Pierce St
Carlsbad, NM 88220-3513
Phone
(575) 243-8084
NPI assigned
Mar 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Authorized official

Name
Jayce RodriguezNPI 1356732267
Title
Owner
Phone
(575) 288-2600

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

2405 W Pierce St
Carlsbad, NM 88220-3513

Mailing address

2405 W Pierce St
Carlsbad, NM 88220-3513
Phone (575) 288-2600

Other names 1

  • Desert Bloom Dermatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250910001794 NM Part B Supplier - Clinic/Group Practice 1850894593 Receives reassigned benefits from 2 practitioners
Practice locations: Carlsbad, NM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1741737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1508665563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 W PIERCE ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203513",
            "telephone_number": "575-288-2600",
            "fax_number": "575-575-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 W PIERCE ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203513",
            "telephone_number": "575-243-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-12",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JAYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-288-2600"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Bloom Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlsbad, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.