Active NPI
Neurotechnology Devices, Inc
- Family Medicine Physician
- Carlsbad, NM
National Provider Identifier
1861757908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A129905
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Carlsbad, NM
- NPI 1790855732
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.