Active NPI
Van R Warren Dom PC
- Acupuncturist
- Roswell, NM
National Provider Identifier
1811924392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- Legal business name
- VAN R WARREN DOM PC
- Practice address
- 400 N. Pennsylvania
Roswell, NM 88201 - Phone
- (575) 627-7109
- Fax
- (575) 627-8439
- NPI assigned
- Jun 28, 2006
- Last updated
- Oct 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Beth Blatchford
- Title
- Office Manager
- Phone
- (575) 627-7109
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | Primary |
Addresses
Primary practice location
400 N. Pennsylvania
Roswell, NM 88201
Mailing address
PO Box 3112
Roswell, NM 88202
Phone (575) 627-7109
National Provider Directory
National Provider DirectoryLocations
400 N Pennsylvania Ave
Roswell, NM 88201
Phone (575) 623-9101
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Acupuncturist
- Roswell, NM
- NPI 1508812397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193702400000",
"number": "1811924392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3112",
"city": "ROSWELL",
"state": "NM",
"postal_code": "88202",
"telephone_number": "575-627-7109",
"fax_number": "575-627-8439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N. PENNSYLVANIA",
"city": "ROSWELL",
"state": "NM",
"postal_code": "88201",
"telephone_number": "575-627-7109",
"fax_number": "575-627-8439"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VAN R WARREN DOM PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-28",
"last_updated": "2007-10-30",
"status": "A",
"authorized_official_last_name": "BLATCHFORD",
"authorized_official_first_name": "BETH",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "575-627-7109"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.