Organization Active NPI

Neurotechnology Devices, Inc

  • Family Medicine Physician
  • Carlsbad, NM
National Provider Identifier
1861757908
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A129905 Issued in NM
Legal business name
NEUROTECHNOLOGY DEVICES, INC
Doing business as
NTD Diagnosis & Neurorehabilitation
Practice address
615 W Mermod St
Carlsbad, NM 88220-4912
Phone
(575) 887-8925
Fax
(575) 887-8935
NPI assigned
Jul 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Authorized official

Name
Dr. Nii Tetteh Tsuru Addy, D.O.NPI 1790855732
Title
Chief Executive Officer
Phone
(575) 887-8925

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X A129905 NM Primary

Addresses

Primary practice location

615 W Mermod St
Carlsbad, NM 88220-4912

Mailing address

615 W Mermod St
Carlsbad, NM 88220-4912
Phone (575) 887-8925

Other names 1

  • NTD Diagnosis & Neurorehabilitation Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1861757908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W MERMOD ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882204912",
            "telephone_number": "575-887-8925",
            "fax_number": "575-887-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W MERMOD ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882204912",
            "telephone_number": "575-887-8925",
            "fax_number": "575-887-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROTECHNOLOGY DEVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-04",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "ADDY",
        "authorized_official_first_name": "NII TETTEH",
        "authorized_official_middle_name": "TSURU",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "575-887-8925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "A129905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NTD Diagnosis & Neurorehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlsbad, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.