Organization Active NPI

Accent on Health Medical Associates, Inc.

  • Medical Specialty Clinic/Center
  • Las Cruces, NM
National Provider Identifier
1669506994
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
ACCENT ON HEALTH MEDICAL ASSOCIATES, INC.
Practice address
2900 Hillrise Drive
2900 Hillrise Drive
Las Cruces, NM 88011
Phone
(505) 695-1227
Fax
(877) 532-2113
NPI assigned
Mar 16, 2007
Last updated
Apr 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Authorized official

Name
Dr. Glenn J Waldt, DONPI 1437219698
Title
Owner
Phone
(505) 695-1227

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)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

2900 Hillrise Drive
2900 Hillrise Drive
Las Cruces, NM 88011

Mailing address

1180 Commerce Drive #14222
Las Cruces, NM 88011-8255
Phone (505) 695-1227

National Provider Directory

National Provider Directory

Locations

1180 Commerce Dr
#14222
Las Cruces, NM 88011

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.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1669506994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 COMMERCE DRIVE #14222",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118255",
            "telephone_number": "505-695-1227",
            "fax_number": "877-532-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 HILLRISE DRIVE",
            "address_2": "2900 HILLRISE DRIVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88011",
            "telephone_number": "505-695-1227",
            "fax_number": "877-532-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCENT ON HEALTH MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "WALDT",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-695-1227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.