Organization Active NPI

Pain and Addiction Services, LLC

  • Multi-Specialty Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1891281259
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PAIN AND ADDICTION SERVICES, LLC
Practice address
1110 Pennsylvania St NE Ste B
Albuquerque, NM 87110-7404
Phone
(505) 750-2034
Fax
(505) 400-3029
NPI assigned
Jul 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Authorized official

Name
Morgan E Ortiz
Title
Owner/Ceo
Phone
(505) 717-5278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1110 Pennsylvania St NE Ste B
Albuquerque, NM 87110-7404

Mailing address

1110 Pennsylvania St NE Ste B
Albuquerque, NM 87110-7404
Phone (505) 750-2034

Other identifiers 1

IdentifierTypeStateIssuer
11587237MedicaidNM

National Provider Directory

National Provider Directory

Locations

1110 Pennsylvania St NE
Albuquerque, NM 87110
Phone (505) 268-0808

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": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571097600000",
    "number": "1891281259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 PENNSYLVANIA ST NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107404",
            "telephone_number": "505-750-2034",
            "fax_number": "505-400-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 PENNSYLVANIA ST NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107404",
            "telephone_number": "505-750-2034",
            "fax_number": "505-400-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN AND ADDICTION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2019-10-15",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "505-717-5278"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11587237",
            "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 Oct 15, 2019; 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.