New Mexico Facial Plastics PC

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

MD20050527 Issued in NM

Legal business name

NEW MEXICO FACIAL PLASTICS PC

Practice address

6200 Uptwon Blvd
Suite 419
Albuquerque, NM 87110-4159

Phone

(505) 888-3223

Fax

(505) 888-3224

NPI assigned

Mar 13, 2007

Last updated

Nov 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Farhan Taghizadeh, MD

Title

President

Phone

(505) 888-3223

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1760515589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 UPTOWN BLVD NE",
            "address_2": "SUITE 419",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104159",
            "telephone_number": "505-888-3223",
            "fax_number": "505-888-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 UPTWON BLVD",
            "address_2": "SUITE 419",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104159",
            "telephone_number": "505-888-3223",
            "fax_number": "505-888-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO FACIAL PLASTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "TAGHIZADEH",
        "authorized_official_first_name": "FARHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-888-3223",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NM",
            "license": "MD20050527",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "NM",
            "license": "MD20050527",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NM",
            "license": "MD20050527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207YX0905X",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology/Facial Plastic Surgery Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Otolaryngology/Facial Plastic Surgery Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.

Verify at the official NPI Registry.