MUSCULOSKELETAL MEDICINE OF NEW MEXICO (NPI# 1336681840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336681840 |
| Entity Type | Organization |
| Organization Name | MUSCULOSKELETAL MEDICINE OF NEW MEXICO |
| Practice Address |
1460 Trinity Dr Ste 2 Los Alamos NM 87544-4107 |
| Practice Telephone | 5054124061 |
| Mailing Telephone | 5054124061 |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2018-01-08 |
| Authorized Official Name | DR. TAYLOR DIMARINO (NAPRAPATH) |
| Authorized Official Telephone | 5054124061 |
| Authorized Official Credential | DN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | Other Service Providers | ||
| N | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 172P00000X | Naprapath | Other Service Providers |
| Street Address |
1460 TRINITY DR STE 2 |
| City | LOS ALAMOS |
| State | NM |
| Zip Code | 87544-4107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639557614 | Taylor Dimarino | Naprapath | 1460 Trinity Dr Ste 2, Los Alamos, NM 87544-4107 | 2015-05-11 |
| 1144731811 | Steven Dimarino | Massage Therapist | 1460 Trinity Dr Ste 2, Los Alamos, NM 87544-4107 | 2017-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679945935 | Zia Home Health | Home Health | 1475 Central Ave., Suite 125, Los Alamos, NM 87544 | 2015-10-27 |
| 1295131167 | Sara Pocernik | Dietitian, Registered | 1450 Iris Street, Los Alamos, NM 87544 | 2014-11-05 |
| 1760824890 | Lisa Renee Marr Lyon | Psychologist | 3917 West Road, Suite 128, Children's Clinic, P.a., Los Alamos, NM 87544 | 2013-07-17 |
| 1558629725 | Rachel Meyer | Dentist | 112 Central Park Square, Los Alamos, NM 87544 | 2012-04-25 |
| 1902183908 | Susana T. Chavarria | Occupational Therapist | 5 Quemazon Pl., Los Alamos, NM 87544 | 2011-11-04 |
| 1881998664 | Dr. Tom Child and Adolescent Medicine | Pediatrics | Los Alamos Medical Center, 3917 West Rd, Suite M250, Los Alamos, NM 87544 | 2011-01-07 |
| 1952565905 | Dawn Judy Barr | Social Worker | 3 Agila Ct, Los Alamos, NM 87544 | 2008-07-17 |
| 1649452129 | Ellen Vandergust Ballard | Dentist | 111 Longview, Suite B-3, White Rock, NM 87544 | 2007-11-27 |
| 1629290283 | Wildwind Dental | Dentist | 111 Longview Drive, Suite B3, Los Alamos, NM 87544 | 2007-05-03 |
| 1255407342 | Sarah Sue Teasdale | Counselor | 1362 C Trinity Dr, Los Alamos, NM 87544 | 2006-11-28 |
| Find all providers in zip 87544 | ||||
| Taxonomy Code | 172P00000X |
| Grouping | Other Service Providers |
| Classification | Naprapath |
| Naprapathy means a branch of medicine that focuses on the evaluation and treatment of neuron-muscular conditions. Doctors of naprapathy are connective tissue specialists. Education and training are defined through individual states’ licensing/certification requirements. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639557614 | Taylor Dimarino | Naprapath | 1460 Trinity Dr Ste 2, Los Alamos, NM 87544-4107 | 2015-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063059947 | Trident Core LLC | Naprapath | 524 W Cordova Rd, Santa Fe, NM 87505-1822 | 2019-12-10 |
| 1528624426 | Alessandra Desiree Dallera | Naprapath | 1640 Jay St, Santa Fe, NM 87505-3893 | 2019-05-15 |
| 1417512708 | Christopher Escobar Herrera | Naprapath | 2006 Botulph Rd Ste A, Santa Fe, NM 87505-5764 | 2019-05-02 |
| 1467911735 | Jan Cisneros-neith | Naprapath | 2887 Clark Ct, Santa Fe, NM 87507-5179 | 2019-03-17 |
| 1861968950 | Joshua Peiper | Naprapath | 9250 Eagle Ranch Rd Nw Apt 523, Albuquerque, NM 87114-6233 | 2018-10-16 |
| 1104323823 | Michelle Morath | Naprapath | 2612 Adams St Ne, Albuquerque, NM 87110-2902 | 2018-04-09 |
| 1770097842 | Nancy Phillips | Naprapath | 2019 Galisteo St Ste M5, Santa Fe, NM 87505-2106 | 2017-11-27 |
| 1477984078 | Nina Pregont | Naprapath | 9 La Canada Pl, Sandia Park, NM 87047 | 2013-12-06 |
| 1720310931 | Harmony Naprapathic P.a. | Naprapath | 8100 E Main St, Farmington, NM 87402-5150 | 2010-02-12 |
| 1649494873 | Shawn Elliot Sulak | Naprapath | 3600 Cerrillos Rd Ste 407, Santa Fe, NM 87507-2653 | 2007-04-12 |
| Find all providers with the same taxonomy | ||||
| City | LOS ALAMOS |
| Zip Code | 87544 |
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| 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.