Sandia Surgical Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

FA0007917 Issued in NM

Legal business name

SANDIA SURGICAL INC

Practice address

6120 Signal NE
Albuquerque, NM 87113

Phone

(505) 883-2817

Fax

(505) 883-2590

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Terry D Weaver

Title

President

Phone

(505) 883-2817

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578647301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 SIGNAL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87113",
            "telephone_number": "505-883-2817",
            "fax_number": "505-883-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 SIGNAL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87113",
            "telephone_number": "505-883-2817",
            "fax_number": "505-883-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDIA SURGICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-883-2817",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NM",
            "license": "FA0007917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q1683",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandia Speech Language Therapy LLC
• Sandia Staffing Alliance
• Sandia Staffing Alliance
• Sandia Sunrise Therapy LLC
• Sandia Surgery Center LLC
• Sandia Therapy and Wellness Center
• Sandia Transportation
• Sandia View Fountain Hill LLC
• Sandia View Spain
• Sandia Vista Psychiatric-Mental Health

• Durable Medical Equipment & Medical Supplies in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Durable Medical Equipment & Medical Supplies 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.