Sandia Neurology PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

SANDIA NEUROLOGY PC

Practice address

101 Hospital Loop NE
Suite 111
Albuquerque, NM 87109-2129

Phone

(505) 884-4406

NPI assigned

Jul 1, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Sally Lynn Harris, MD

Title

Ceo

Phone

(505) 884-4406

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1700014479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL LOOP NE",
            "address_2": "SUITE 111",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092129",
            "telephone_number": "505-884-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL LOOP NE",
            "address_2": "SUITE 111",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092129",
            "telephone_number": "505-884-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDIA NEUROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-884-4406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandia National Laboratories
• Sandia National Laboratory
• Sandia National Laboratory
• Sandia National Labs
• Sandia National Labs
• Sandia Neuromonitoring LLC
• Sandia Neuropsychological Services LLC
• Sandia Neuropsychology LLC
• Sandia OBGYN Associates
• Sandia Oral Surgery and Dental Implant Center

• Neurology Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Neurology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.