Gang Risk Intervention Project, Incorporated

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

GANG RISK INTERVENTION PROJECT, INCORPORATED

Practice address

212 E 12TH St
Silver City, NM 88061-6408

Phone

(575) 388-2443

NPI assigned

Aug 5, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Bennett Fast Sr.

Title

President

Phone

(575) 534-2020

Specialties & licenses 1

Addresses

Other names 1

• GRIP Optical Doing business as

Locations

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1881908457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E 12TH ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880616408",
            "telephone_number": "575-388-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E 12TH ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880616408",
            "telephone_number": "575-388-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANG RISK INTERVENTION PROJECT, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "FAST",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "BENNETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-534-2020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRIP Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joanne B Galbraith, D.O.M.
• Paul Eric Galbraith, LISW/LCSW
• Anita C Gallardo, FNP-C
• Victoria Frances Gallop, LPCC
• Aryn Gandara
• W Jay Garard, DDS
• Monica Luisita Garcia
• Paul Garcia, LBSW
• Alison K Garner, CRNA
• Robert Garrett, MD

• Eyewear Supplier in Silver City, NM
• Providers in Silver City, NM by specialty
• Eyewear Supplier in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.