NPIMap

Organization Active NPI

Juan Tabo Foot Health Center, PC

  • Podiatrist
  • Albuquerque, NM
National Provider Identifier
1699060202
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
145 Issued in NM
Legal business name
JUAN TABO FOOT HEALTH CENTER, PC
Practice address
1925 Juan Tabo Blvd NE
Suite D
Albuquerque, NM 87112-3366
Phone
(505) 293-6290
Fax
(505) 292-3014
NPI assigned
Jun 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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

Authorized official

Name
Dr. Richard A Weinstein, DPM
Title
Podiatrist
Phone
(505) 293-6290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 145 NM Primary

Addresses

Primary practice location

1925 Juan Tabo Blvd NE
Suite D
Albuquerque, NM 87112-3366

Mailing address

1925 Juan Tabo Blvd NE
Suite D
Albuquerque, NM 87112-3366
Phone (505) 293-6290

National Provider Directory

National Provider Directory

Locations

1925 Juan Tabo Blvd NE
Ste D
Albuquerque, NM 87112
Phone (505) 292-9700

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307664000000",
    "number": "1699060202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 JUAN TABO BLVD NE",
            "address_2": "SUITE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871123366",
            "telephone_number": "505-293-6290",
            "fax_number": "505-292-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 JUAN TABO BLVD NE",
            "address_2": "SUITE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871123366",
            "telephone_number": "505-293-6290",
            "fax_number": "505-292-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN TABO FOOT HEALTH CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-10",
        "last_updated": "2011-06-10",
        "status": "A",
        "authorized_official_last_name": "WEINSTEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "505-293-6290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NM",
            "license": "145",
            "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 Jun 10, 2011; 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.