Maddog Mechanical

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

356742 Issued in NM

Legal business name

MADDOG MECHANICAL

Practice address

2125 Los Lentes Rd NE
Los Lunas, NM 87031-6532

Phone

(505) 550-0335

NPI assigned

Dec 1, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Edward R Finley

Title

Partner

Phone

(505) 550-0335

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1740518851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 LOS LENTES RD NE",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870316532",
            "telephone_number": "505-550-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 LOS LENTES RD NE",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870316532",
            "telephone_number": "505-550-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADDOG MECHANICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-01",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "FINLEY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "505-550-0335",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "NM",
            "license": "356742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01277203",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth R Lytle
• Linda R Lytle, LPCC
• Robert Anthony Mace Serratore, LMHC MA
• Daniel Maceachen
• Kristine Marie Macias
• Dennis Madrid, M.D.
• Lovella C Madrid
• Richard Maestas, LMSW
• Main Street Dentistry
• Katrina Maloney

• Home Modifications Contractor in Los Lunas, NM
• Providers in Los Lunas, NM by specialty
• Home Modifications Contractor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.