North Fourth Art Center

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

1126820 Issued in NM

Legal business name

NORTH FOURTH ART CENTER

Practice address

4904 4TH St NW
Albuquerque, NM 87107-3906

Phone

(505) 345-2872

Fax

(505) 345-2896

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Marjorie M Neset

Title

Executive Director

Phone

(505) 345-2872

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1689790347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 4TH ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871073906",
            "telephone_number": "505-345-2872",
            "fax_number": "505-345-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 4TH ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871073906",
            "telephone_number": "505-345-2872",
            "fax_number": "505-345-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FOURTH ART CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "NESET",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-345-2872",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NM",
            "license": "1126820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000D1281",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dianna Norris
• Kelsey Norris
• Matthew Norris
• Beaver Toya North Cloud, BA SOCIAL SCIENCE
• North Coors Dental
• Aaron North
• Charles North
• Julia Jones North, PA-C
• Nancy North, D.C.,C.C.S.P., C.C.E
• Sherri Deshay North, MS, CCC-SLP

• Developmentally Disabled Services Day Training Agency in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Developmentally Disabled Services Day Training Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.