Organization Active NPI

Land of Enchantment Spine Surgery PC

  • Orthopaedic Surgery of the Spine Physician
  • Albuquerque, NM
National Provider Identifier
1790011575
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
LAND OF ENCHANTMENT SPINE SURGERY PC
Practice address
3620 Bosque PLZ NW Ste a
Albuquerque, NM 87120-4297
Phone
(505) 792-6886
Fax
(877) 296-3211
NPI assigned
Oct 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Authorized official

Name
Dr. Douglas A Slaughter, MD
Title
Owner
Phone
(505) 792-6886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XS0117X Primary

Addresses

Primary practice location

3620 Bosque PLZ NW Ste a
Albuquerque, NM 87120-4297

Mailing address

3620 Bosque PLZ NW Ste a
Albuquerque, NM 87120-4297
Phone (505) 792-6886

National Provider Directory

National Provider Directory

Locations

3620 Bosque Plaza Ln NW
Ste B
Albuquerque, NM 87120
Phone (505) 620-6319

3620 Bosque Plaza Ln NW
Ste A
Albuquerque, NM 87120
Phone (505) 792-6886

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1790011575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 BOSQUE PLZ NW STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871204297",
            "telephone_number": "505-792-6886",
            "fax_number": "877-296-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 BOSQUE PLZ NW STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871204297",
            "telephone_number": "505-792-6886",
            "fax_number": "877-296-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAND OF ENCHANTMENT SPINE SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "SLAUGHTER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-792-6886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 9, 2010; 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.