NPIMap

Organization Active NPI

Cooperative Educational Services

  • Local Education Agency (LEA)
  • Albuquerque, NM
National Provider Identifier
1720132707
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
COOPERATIVE EDUCATIONAL SERVICES
Practice address
4216 Balloon Park Rd NE
Albuquerque, NM 87109-5801
Phone
(505) 344-5470
Fax
(505) 344-9343
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Max Luft
Title
Executive Director
Phone
(505) 344-5470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

4216 Balloon Park Rd NE
Albuquerque, NM 87109-5801

Mailing address

4216 Balloon Park Rd NE
Albuquerque, NM 87109-5801
Phone (505) 344-5470

Other identifiers 1

IdentifierTypeStateIssuer
61881856MedicaidNM

National Provider Directory

National Provider Directory

Locations

4216 Balloon Park Rd NE
Albuquerque, NM 87109
Phone (505) 344-5470

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720132707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4216 BALLOON PARK RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095801",
            "telephone_number": "505-344-5470",
            "fax_number": "505-344-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4216 BALLOON PARK RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095801",
            "telephone_number": "505-344-5470",
            "fax_number": "505-344-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPERATIVE EDUCATIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUFT",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-344-5470",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61881856",
            "state": "NM"
        }
    ],
    "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 Aug 22, 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.