Body Potions Emporium, Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

BODY POTIONS EMPORIUM, INC.

Practice address

3620 Wyoming Blvd NE Ste 110
Albuquerque, NM 87111-3286

Phone

(505) 910-4410

NPI assigned

Jan 9, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Javin Laebein Atreides, LMT 8032

Title

Founder Ceo and Massage Therapist

Phone

(505) 688-1377

Specialties & licenses 2

Addresses

Other names 1

• Body Potions Emporium, Inc. Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1811601537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 WYOMING BLVD NE STE 110",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113286",
            "telephone_number": "505-910-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 WYOMING BLVD NE STE 110",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113286",
            "telephone_number": "505-910-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY POTIONS EMPORIUM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-07",
        "status": "A",
        "authorized_official_last_name": "ATREIDES",
        "authorized_official_first_name": "JAVIN",
        "authorized_official_middle_name": "LAEBEIN",
        "authorized_official_title_or_position": "FOUNDER CEO AND MASSAGE THERAPIST",
        "authorized_official_telephone_number": "505-688-1377",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT 8032"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "founder@bodypotionsemporium.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA Compliant Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3620 Wyoming Blvd NE Ste 110",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871113286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Body Potions Emporium, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hope Bodewaldt
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• Sarah Bodkin
• Body & Skin Clinic Inc
• Body Balance Chiropractic PC
• Bodyvolve
• Jennifer Bodziak, DDS
• Edgar C. Boedeker, M.D.
• Denise Marie Boeder, LSAA
• Diane Boehm, PT

• Health Service Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Health Service Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.