DAMON DWIGGINS (NPI# 1174780639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174780639 |
| Entity Type | Individual |
| Full Name | DAMON DWIGGINS |
| Credential | LMT |
| Practice Address |
755 S Telshor Blvd Bldg C Suite 201 Las Cruces NM 88011-4688 |
| Practice Telephone | 5756402088 |
| Practice Fax Number | 5755223959 |
| Mailing Telephone | 5756402088 |
| Mailing Fax Number | 5755223959 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 5765 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | NEW MEXICO MASSAGE THERAPY BOARD | 5765 | 01 |
| NM | NATIONAL CERTIFICATION BOARD OF THERAPEUTIC MASSAGE | 539707-07 | 01 |
| Street Address |
755 S TELSHOR BLVD BLDG C SUITE 201 |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-4688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811990542 | John Kent Nelson | Chiropractor | 755 S Telshor Blvd, Suite R-102, Las Cruces, NM 88011-4688 | 2005-05-27 |
| 1801370002 | Andrea Elena Saenz | Social Worker | 755 S Telshor Blvd, Las Cruces, NM 88011-4688 | 2018-09-24 |
| 1134598444 | Diana O'brien | Marriage & Family Therapist | 755 S Telshor Blvd, Suite 201b, Las Cruces, NM 88011-4688 | 2015-09-16 |
| 1841609401 | Beyond Envisioning, LLC | Counselor | 755 S Telshor Blvd, Unit R201, Las Cruces, NM 88011-4688 | 2014-08-07 |
| 1679903942 | Teri Lopez | Occupational Therapist | 755 S Telshor Blvd, Las Cruces, NM 88011-4688 | 2013-11-22 |
| 1952676991 | Anna Hooley | Nurse Practitioner | 755 S Telshor Blvd, C 202, Las Cruces, NM 88011-4688 | 2012-03-08 |
| 1366715674 | Alicia Iverson | Social Worker | 755 S Telshor Blvd, Suite D-109, Las Cruces, NM 88011-4688 | 2012-02-16 |
| 1619138807 | Heritage Chiropractic Center, LLC | Chiropractor | 755 S Telshor Blvd, Suite R-102, Las Cruces, NM 88011-4688 | 2008-06-19 |
| 1780841585 | Innovations Healthcare Rehabilitation, LLC | Physical Therapist | 755 S Telshor Blvd, A201, Las Cruces, NM 88011-4688 | 2008-05-20 |
| 1457521338 | Natsuko Nakano | Massage Therapist | 755 S Telshor Blvd, Suite 202f, Las Cruces, NM 88011 | 2008-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912461252 | Laura Angel Bejarano | Massage Therapist | 701 Windmill Dr, Las Cruces, NM 88011-8042 | 2019-01-30 |
| 1790223485 | Sherry Ann Fletcher | Massage Therapist | 3500 Foothills Rd, L 18, Las Cruces, NM 88011-8657 | 2017-02-02 |
| 1376099531 | Mahonri A Telles | Massage Therapist | 4784 Saromi Ln, Las Cruces, NM 88011-6806 | 2016-08-28 |
| 1538522925 | Rayna Cruz Telles | Massage Therapist | 225 E Idaho Ave Ste 7, Las Cruces, NM 88005-3241 | 2016-04-01 |
| 1205298114 | Andrea S. Pollock | Massage Therapist | 2900 Hillrise, Las Cruces, NM 88013-2900 | 2016-03-22 |
| 1548663305 | Angella Dawn Schlothauer | Massage Therapist | 214 N Armijo St, Las Cruces, NM 88005-2537 | 2014-10-07 |
| 1073913430 | Ricardo Antonio De La O | Massage Therapist | 2505 Chaparral St, Las Cruces, NM 88001-5701 | 2014-09-03 |
| 1992046031 | Hope A Carreon | Massage Therapist | 650 Montana Ave, Suite B, Las Cruces, NM 88001-4294 | 2013-03-14 |
| 1205189560 | Bridget Ortiz | Massage Therapist | 715 E Idaho Ave Ste 1c, Las Cruces, NM 88001-3793 | 2012-10-23 |
| 1629324017 | Carol Sullivan | Massage Therapist | 602 Weinrich Rd Trlr 6, Las Cruces, NM 88007-4857 | 2012-08-03 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
Please comment or provide details below to improve the information on DAMON DWIGGINS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.