Active NPI
Ideal Option, PLLC
- Addiction Medicine (Family Medicine) Physician
- Santa Fe, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- Legal business name
- IDEAL OPTION, PLLC
- Practice address
- 2019 Galisteo St Ste H1
Santa Fe, NM 87505-2106 - Phone
- (509) 222-1275
- NPI assigned
- Jul 6, 2017
- Last updated
- Aug 30, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Jefferson Dawson, MD
- Title
- Cmo
- Phone
- (509) 222-1275
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | NU | Primary |
Addresses
Primary practice location
2019 Galisteo St Ste H1
Santa Fe, NM 87505-2106
Mailing address
8656 W Gage Blvd
Siute 301B
Kennewick, WA 99336-7145
Phone (509) 222-1275
National Provider Directory
National Provider Directory- Tax ID family
- Ideal Option PLC
Organizations with this tax ID in the same state 1
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Clinic/Center
- Las Cruces, NM
- NPI 1083455794
Locations
2019 Galisteo St
Ste H1
Santa Fe, NM 87505
8656 W Gage Blvd
#301B
Kennewick, WA 99336
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Addiction Medicine (Family Medicine) Physician
- Fargo, ND
- NPI 1871540435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693353600000",
"number": "1639690050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8656 W GAGE BLVD",
"address_2": "SIUTE 301B",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993367145",
"telephone_number": "509-222-1275",
"fax_number": "509-491-3031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2019 GALISTEO ST STE H1",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875052106",
"telephone_number": "509-222-1275"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IDEAL OPTION, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-06",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A",
"authorized_official_last_name": "DAWSON",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "JEFFERSON",
"authorized_official_title_or_position": "CMO",
"authorized_official_telephone_number": "509-222-1275",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.