Active NPI
John D'Amanda, NMD, CTTP
- General Practice Physician
- Albuquerque, NM
National Provider Identifier
1891760534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD3816812
- Practice address
- 500 Marquette Ave
Albuquerque, NM 87102 - Phone
- (888) 808-4445
- Fax
- (940) 365-5887
- NPI assigned
- Feb 17, 2006
- Last updated
- Nov 29, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internist Chiropractor | 111NI0900X | 8241 | TX | |
| General Practice Physician | 208D00000X | MD3816812 | NM | Primary |
Addresses
Primary practice location
500 Marquette Ave
Albuquerque, NM 87102
Mailing address
500 Marquette Ave
Albuquerque, NM 87102
Phone (888) 808-4445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8241 | TX | MD | Internist Chiropractor |
| MD3816812 | NM | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511913600000",
"number": "1891760534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 MARQUETTE AVE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87102",
"telephone_number": "888-808-4445",
"fax_number": "940-365-5887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MARQUETTE AVE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87102",
"telephone_number": "888-808-4445",
"fax_number": "940-365-5887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'AMANDA",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "NMD, CTTP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2017-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "111NI0900X",
"taxonomy_group": "",
"desc": "Chiropractor, Internist",
"state": "TX",
"license": "8241",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NM",
"license": "MD3816812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
- Christina Czemske, OT
- David Rodriguez Czuchlewski, MD
- D. Gregory Lopour DDS, Smiles by Design PA (LoPour & Associates DDS)
- D. Valore Medical Massage and Oriental Therapies, LLC (Centered Wellness)
- D.L.W. Forensic Community Navigation Specialist, LLC
- Sonya D'Ambrosio, LMSW
- Melodie C D'Amour
- Sally M D'Angelo, MD
- Denise A D'Coda, MC, LMFT, LADAC
- Roberta Da Silva Ferreira Bilberry, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.