Quanyin, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

QUANYIN, LLC

Practice address

2905 Rodeo Park Dr E BLDG 3
Santa Fe, NM 87505-6313

Phone

(505) 986-1089

Fax

(505) 986-0194

NPI assigned

Aug 2, 2018

Organization subpart

No

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

Authorized official

Name

Robyn Benson, DOM

Title

Owner

Phone

(505) 986-1089

Specialties & licenses 1

Addresses

Other names 1

• Santa Fe Soul Doing business as

Locations

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564531200000",
    "number": "1952889891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 RODEO PARK DR E BLDG 3",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056313",
            "telephone_number": "505-986-1089",
            "fax_number": "505-986-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 RODEO PARK DR E BLDG 3",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056313",
            "telephone_number": "505-986-1089",
            "fax_number": "505-986-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANYIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2019-07-31",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-986-1089",
        "authorized_official_credential": "DOM"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Fe Soul",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas A Puryear, MD
• Adam J Putnam, M.D.
• Matthew T Putnam, BMS
• Adonata Pyaga, MS, LPCC, LMHC
• Qi Inc
• Anthony Quay, MD
• Casea Quednow, CBPA
• Margarita Quevado, LMT
• Justin Quick
• Elizabeth Rose Quinn, LAMFT

• Multi-Specialty Clinic/Center in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Multi-Specialty Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.