Carl T Whalen

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

DO2024-0096 Issued in NM

Practice address

3121 Carlisle Blvd NE
Albuquerque, NM 87110-1654

Phone

(505) 228-2108

Fax

(505) 205-1514

NPI assigned

Apr 4, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1585958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1609405315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 CARLISLE BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101654",
            "telephone_number": "505-916-6544",
            "fax_number": "505-205-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 CARLISLE BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101654",
            "telephone_number": "505-228-2108",
            "fax_number": "505-205-1514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Msc 10-5590 1 University Of New Mexico",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "505-272-5551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2701 Frontier Ave NW Suite 215",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "505-272-1443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHALEN",
        "first_name": "CARL",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-04",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NM",
            "license": "DO2024-0096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Westside Herbs & Acupuncture, LTD
• Westside Oral Surgery, PC
• Larissa Wetterlund, RBT
• Marianne Wettstein, SW
• Michael A Wexelblatt, AU.D.
• Sardonyx Adelheid Whalen, LMSW
• Thomas Joseph Whalen III, M.D.
• Matthew Wharton
• Addyson Whatley
• Ginger Whatley, MS, LPC, LCDC

• Occupational Medicine Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Occupational Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.