Active NPI
Daniel Junck LLC
- Medical Specialty Clinic/Center
- Santa Fe, NM
National Provider Identifier
1902000680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 2005-0474
- Legal business name
- DANIEL JUNCK LLC
- Practice address
- 223 N Guadalupe St
Suite 466
Santa Fe, NM 87501-1868 - Phone
- (505) 670-6549
- Fax
- (505) 830-4803
- NPI assigned
- Jun 14, 2007
- Last updated
- Dec 29, 2011
- 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. Daniel Lee Junck, MD
- Title
- Physician, Owner
- Phone
- (505) 670-6549
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 2005-0474 | NM | Primary |
Addresses
Primary practice location
223 N Guadalupe St
Suite 466
Santa Fe, NM 87501-1868
Mailing address
223 N Guadalupe St
Suite 466
Santa Fe, NM 87501-1868
Phone (505) 670-6549
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46257268 | Medicaid | NM |
National Provider Directory
National Provider DirectoryLocations
609 Broadway Blvd NE
Ste 205
Albuquerque, NM 87102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325116800000",
"number": "1902000680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 N GUADALUPE ST",
"address_2": "SUITE 466",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875011868",
"telephone_number": "505-670-6549",
"fax_number": "505-830-4803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 N GUADALUPE ST",
"address_2": "SUITE 466",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875011868",
"telephone_number": "505-670-6549",
"fax_number": "505-830-4803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL JUNCK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-14",
"last_updated": "2011-12-29",
"status": "A",
"authorized_official_last_name": "JUNCK",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PHYSICIAN, OWNER",
"authorized_official_telephone_number": "505-670-6549",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "NM",
"license": "2005-0474",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "46257268",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.