Organization Active NPI

Van R Warren Dom PC

  • Acupuncturist
  • Roswell, NM
National Provider Identifier
1811924392
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.