Organization Active NPI

Abq Dna LLC

  • Primary Care Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1780337378
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ABQ DNA LLC
Practice address
7328 Sandmark Rd NW
Albuquerque, NM 87114-6420
Phone
(505) 410-1924
NPI assigned
Feb 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Authorized official

Name
Dr. Devang R Butani, DONPI 1245585017
Title
Ceo
Phone
(505) 410-1924

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

7328 Sandmark Rd NW
Albuquerque, NM 87114-6420

Mailing address

1380 Rio Rancho Dr SE # 262
Albuquerque, NM 87124-1006
Phone (505) 410-1924

Other names 1

  • Zia Medical Concierge Doing business as

National Provider Directory

National Provider Directory

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1780337378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 RIO RANCHO DR SE # 262",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871241006",
            "telephone_number": "505-410-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7328 SANDMARK RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871146420",
            "telephone_number": "505-410-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABQ DNA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "BUTANI",
        "authorized_official_first_name": "DEVANG",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-410-1924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zia Medical Concierge",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Zia Medical Concierge",
            "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 Apr 10, 2023; 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.