Individual provider Active NPI

Anthony John Flores, ASL

  • Speech-Language Pathologist
  • Laguna, NM
National Provider Identifier
1821167636
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4283 Issued in NM
Practice address
I-40 West, Exit 114
Building #1125
Laguna, NM 87026-4611
Phone
(505) 552-6008
Fax
(505) 552-6398
NPI assigned
Nov 7, 2006
Last updated
Sep 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4283 NM Primary

Addresses

Primary practice location

I-40 West, Exit 114
Building #1125
Laguna, NM 87026-4611

Mailing address

3520 Stetson St SW
Los Lunas, NM 87031-6382
Phone (505) 259-8550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1821167636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 STETSON ST SW",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870316382",
            "telephone_number": "505-259-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "I-40 WEST, EXIT 114",
            "address_2": "BUILDING #1125",
            "city": "LAGUNA",
            "state": "NM",
            "postal_code": "870264611",
            "telephone_number": "505-552-6008",
            "fax_number": "505-552-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "ANTHONY",
        "middle_name": "JOHN",
        "credential": "ASL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "4283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.