Organization Active NPI

Desert Oasis Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1689045163
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
DESERT OASIS RECOVERY
Practice address
600 Paisano St NE
Albuquerque, NM 87123-1453
Phone
(505) 296-8184
NPI assigned
Oct 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Authorized official

Name
Andrew Sidoli
Title
Coo
Phone
(505) 504-0260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

600 Paisano St NE
Albuquerque, NM 87123-1453

Mailing address

600 Paisano St NE
Albuquerque, NM 87123-1453

National Provider Directory

National Provider Directory

Locations

600 Paisano St NE
Albuquerque, NM 87123
Phone (505) 266-0110

NPI Registry JSON

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444348800000",
    "number": "1689045163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PAISANO ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871231453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PAISANO ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871231453",
            "telephone_number": "505-296-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT OASIS RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-10-09",
        "status": "A",
        "authorized_official_last_name": "SIDOLI",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "505-504-0260"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.