DAVID OVERSTREET'S TAEKWONDO PLUS LLC (NPI# 1326397902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326397902 |
| Entity Type | Organization |
| Organization Name | DAVID OVERSTREET'S TAEKWONDO PLUS LLC |
| Other Organization Name | OVERSTREET TAEKWONDO ACADEMY |
| Practice Address |
1600 10th St Alamogordo NM 88310-5047 |
| Practice Telephone | 5754395425 |
| Practice Fax Number | 5754395425 |
| Mailing Telephone | 5754395425 |
| Mailing Fax Number | 5754395425 |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |
| Authorized Official Name | DAVID OVERSTREET (CHIEF TRAINER) |
| Authorized Official Telephone | 5754395425 |
| Authorized Official Credential | CTT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| Other Name | Type Code |
|---|---|
| Overstreet TaeKwonDo Academy | Doing Business As Name - Organization |
| Street Address |
1600 10TH ST |
| City | ALAMOGORDO |
| State | NM |
| Zip Code | 88310-5047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568711943 | David Overstreet | Recreation Therapist | 1600 10th St, Alamogordo, NM 88310-5047 | 2012-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249326 | Diana Cano | Behavior Technician | 27 N. Yucca Ave, Alamogordo, NM 88310 | 2020-09-15 |
| 1952802787 | Kinfe H Alemnugus | Pharmacist | 2669 N Scenic Dr, Inpatient Pharmacy, Alamogordo, NM 88310 | 2018-02-27 |
| 1134666902 | Hillary Elizabeth Hunter | Behavior Technician | 1908 Snow Dr, Alamogordo, NM 88310 | 2017-01-31 |
| 1285097774 | Adrienne Nicole Martin | Physician Assistant | 1501 E 10th Street, Pms-alamogordo Family Health Center, Alamogordo, NM 88310 | 2016-04-01 |
| 1487022919 | Crystal Jackson | Behavior Technician | 3205 Shawnee Trl, Alamogordo, NM 88310 | 2015-09-15 |
| 1851788798 | Timothy W. Basha | Counselor | 1613 Juniper Dr., Alamogordo, NM 88310 | 2015-04-17 |
| 1215331186 | Keith Edward Gerber | Case Manager/Care Coordinator | 1900 East Tenth Street, Alamogordo, NM 88310 | 2014-10-21 |
| 1710306691 | Austin Reed | Pharmacist | 2401 Indian Wells, Alamogordo, NM 88310 | 2014-04-08 |
| 1760821805 | Dollar Cab Company | Taxi | 1220 Brooks Ave., Alamogordo, NM 88310 | 2013-06-21 |
| 1932544319 | Peter Allan Lock | Physical Therapist | 1011 A 10th Street, Alamogordo, NM 88310 | 2013-04-30 |
| Find all providers in zip 88310 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
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| 1689930133 | Oscar Artiaga | Public Health or Welfare | 414 St Anthony St, Serenity Counseling, Anthony, NM 88021 | 2012-04-10 |
| 1104056324 | 6th District Court Adult Drug Court | Public Health or Welfare | 201 N Cooper St, Silver City, NM 88061-4969 | 2009-07-22 |
| 1215172952 | New Life Acupuncture and Herbs Clinic | Public Health or Welfare | 4716 Central Ave Se, Albuquerque, NM 87108 | 2008-12-10 |
| 1447407564 | Journey Counseling, LLC | Public Health or Welfare | #1 Railroad Drive, High Rolls, NM 88325 | 2008-08-20 |
| 1457539322 | State of New Mexico | Public Health or Welfare | 2025 S Pacheco St, Santa Fe, NM 87505-3991 | 2008-02-04 |
| 1407064926 | Nmdoh Phd Breast and Cervical Cancer Early Detection Program | Public Health or Welfare | 5301 Central Ave Ne, Suite 800, Albuquerque, NM 87108-1513 | 2007-05-18 |
| 1609908763 | Mira Consulting, Incorporated | Public Health or Welfare | 4100 Hawkins St Ne Ste A, Albuquerque, NM 87109-4531 | 2007-03-12 |
| 1114059011 | New Mexico Department of Health | Public Health or Welfare | 1190 S Saint Francis Dr, Suite S-1150, Santa Fe, NM 87505-4173 | 2007-03-09 |
| Find all providers with the same taxonomy | ||||
| City | ALAMOGORDO |
| Zip Code | 88310 |
Please comment or provide details below to improve the information on DAVID OVERSTREET'S TAEKWONDO PLUS LLC.
| 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.