Active NPI
Jan C Jay Dom PC
- Acupuncturist
- Albuquerque, NM
National Provider Identifier
1710137369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 637 RX2
- Legal business name
- JAN C JAY DOM PC
- Practice address
- 11110 San Rafael Ave NE
Albuquerque, NM 87122-2400 - Phone
- (505) 323-8100
- NPI assigned
- Sep 19, 2008
- Last updated
- Sep 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jan C Jay, DOM
- Title
- President
- Phone
- (505) 323-8100
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 637 RX2 | NM | Primary |
| Physical Therapist | 225100000X | 1020 | NM | |
| Massage Therapist | 225700000X | 3556 | NM |
Addresses
Primary practice location
11110 San Rafael Ave NE
Albuquerque, NM 87122-2400
Mailing address
11110 San Rafael Ave NE
Albuquerque, NM 87122-2400
Phone (505) 323-8100
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Acupuncturist
- Albuquerque, NM
- NPI 1376555359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221782400000",
"number": "1710137369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11110 SAN RAFAEL AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871222400",
"telephone_number": "505-323-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11110 SAN RAFAEL AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871222400",
"telephone_number": "505-323-8100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAN C JAY DOM PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-19",
"last_updated": "2008-09-19",
"status": "A",
"authorized_official_last_name": "JAY",
"authorized_official_first_name": "JAN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "505-323-8100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DOM"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NM",
"license": "637 RX2",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "1020",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NM",
"license": "3556",
"primary": false
}
],
"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 Sep 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.