Organization Active NPI

Self-Directed Options, LLC

Doing business as AAA Paticipant Direction

  • Supports Brokerage Agency
  • Albuquerque, NM
National Provider Identifier
1720409311
Registry record updated Dec 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
Legal business name
SELF-DIRECTED OPTIONS, LLC
Doing business as
AAA Paticipant Direction
Practice address
4300 Silver Ave SE
Suite B
Albuquerque, NM 87108-2748
Phone
(505) 508-5524
Fax
(888) 334-7353
NPI assigned
Dec 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2013

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

Authorized official

Name
Mr. David Murley
Title
President
Phone
(505) 450-5974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Supports Brokerage Agency 251X00000X NM Primary

Addresses

Primary practice location

4300 Silver Ave SE
Suite B
Albuquerque, NM 87108-2748

Mailing address

4300 Silver Ave SE
Suite B
Albuquerque, NM 87108-2748
Phone (505) 508-5524

Other identifiers 1

IdentifierTypeStateIssuer
68289758MedicaidNM

Other names 1

  • AAA Paticipant Direction Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Aaa Participant Direction2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1388016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1720409311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 SILVER AVE SE",
            "address_2": "SUITE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082748",
            "telephone_number": "505-508-5524",
            "fax_number": "888-334-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 SILVER AVE SE",
            "address_2": "SUITE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082748",
            "telephone_number": "505-508-5524",
            "fax_number": "888-334-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF-DIRECTED OPTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-26",
        "last_updated": "2013-12-26",
        "status": "A",
        "authorized_official_last_name": "MURLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-450-5974",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68289758",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AAA Paticipant Direction",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 26, 2013; 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.