New Mexico Plastic

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

77-251 Issued in NM

Legal business name

NEW MEXICO PLASTIC

Practice address

1020 Tijeras Ave NE Ste 16
Albuquerque, NM 87106-4749

Phone

(505) 842-6868

Fax

(505) 842-9325

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Chester Y Sakura Jr., MDNPI 1649289158

Title

Physician

Phone

(505) 842-6868

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chester Y Sakura Jr., MD

  • Plastic and Reconstructive Surgery Physician
  • Albuquerque, NM
  • NPI 1649289158
  NPD (past) Authorized official

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518045657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 TIJERAS AVE NE STE 16",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064749",
            "telephone_number": "505-842-6868",
            "fax_number": "505-842-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 TIJERAS AVE NE STE 16",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064749",
            "telephone_number": "505-842-6868",
            "fax_number": "505-842-9325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO PLASTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAKURA",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "505-842-6868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "NM",
            "license": "77-251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• New Mexico Physicians Eyecare Group, P.C.
• New Mexico Plastic Surgeons, PC
• New Mexico Professional Dental Associates, Inc
• New Mexico Professional Dental Associates, Inc
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• New Mexico Professional Dental Associates, Inc

• Plastic Surgery Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Plastic Surgery Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.