Organization Active NPI

Center for Holistic Health LLC

  • Acupuncturist
  • Albuquerque, NM
National Provider Identifier
1861652877
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
161RX1 Issued in NM
Legal business name
CENTER FOR HOLISTIC HEALTH LLC
Practice address
1000 Eubank Blvd. NE
Suite H
Albuquerque, NM 87112-2878
Phone
(505) 298-7371
Fax
(505) 298-7326
NPI assigned
Jun 12, 2008
Last updated
Jul 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Authorized official

Name
Dr. Diane H. Polasky, DOM
Title
Owner
Phone
(505) 298-7371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 161RX1 NM Primary

Addresses

Primary practice location

1000 Eubank Blvd. NE
Suite H
Albuquerque, NM 87112-2878

Mailing address

PO Box 14695
Albuquerque, NM 87191-4695
Phone (505) 298-7371

Other identifiers 1

IdentifierTypeStateIssuer
02-085135-00-9OtherNMNM CRS

National Provider Directory

National Provider Directory

Locations

1000 Eubank Blvd NE
Ste H
Albuquerque, NM 87112
Phone (505) 298-7371

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1861652877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14695",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871914695",
            "telephone_number": "505-298-7371",
            "fax_number": "505-298-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EUBANK BLVD. NE",
            "address_2": "SUITE H",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122878",
            "telephone_number": "505-298-7371",
            "fax_number": "505-298-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR HOLISTIC HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "POLASKY",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-298-7371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "161RX1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM CRS",
            "identifier": "02-085135-00-9",
            "state": "NM"
        }
    ],
    "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 Jul 17, 2018; 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.