MR. DAVID GERALD DEISSENBERG (NPI# 1962767335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962767335 |
| Entity Type | Individual |
| Full Name | MR. DAVID GERALD DEISSENBERG |
| Practice Address |
126 S Downtown Mall Las Cruces NM 88001-1218 |
| Mailing Address |
5010 Dunn Dr Las Cruces NM 88011-8803 |
| Practice Telephone | 7025962514 |
| Mailing Telephone | 7025962514 |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-07-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 6557 | NM | Other Service Providers |
| Street Address |
126 S DOWNTOWN MALL |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88001-1218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020044 | Three Crosses Regional Hospital LLC | General Acute Care Hospital | 2560 Samaritan Drive, Las Cruces, NM 88001 | 2019-12-17 |
| 1760961908 | Halcyon Health of The Southwest, LLC | Nurse Practitioner | 1355 California Ave Ste B, Las Cruces, NM 88001 | 2018-08-08 |
| 1255818530 | Lago Claro, LLC | Counselor | 2410 S. Espina St, Las Cruces, NM 88001 | 2018-07-19 |
| 1407371818 | Elijah Daniel Perez | Behavior Technician | 1535 Myrtle Ave, Las Cruces, NM 88001 | 2017-08-07 |
| 1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
| 1457886913 | Mathew Petersen Dds PC | Dentist | 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 | 2017-04-21 |
| 1801343439 | Celia Holmes | Registered Nurse | 505 S Main, Ste 249, Las Cruces, NM 88001 | 2016-09-01 |
| 1427420223 | Sara Guidetti | Family Medicine | 3080 Breland Drive, Las Cruces, NM 88001 | 2015-10-20 |
| 1679987234 | Maria De Jesus Martinez | Nurse Practitioner | 1170 N. Solano Ste A, Las Cruces, NM 88001 | 2014-06-11 |
| 1851701494 | Viola E Garcia | Case Manager/Care Coordinator | 100 W Griggs, Las Cruces, NM 88001 | 2014-05-05 |
| Find all providers in zip 88001 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295246098 | Quality Life Services, LLC | Specialist | 4212 Hermia Ct, Las Cruces, NM 88011-0918 | 2017-10-19 |
| 1447668256 | Cherie O'dell | Specialist | 1758 Highland Ave, Las Cruces, NM 88005 | 2014-07-24 |
| 1487915518 | Lohman Anesthesia Associates LLC | Specialist | 4381 E Lohman Ave Ste A, Las Cruces, NM 88011-8255 | 2012-06-05 |
| 1154639136 | Zoe Frances Christian | Specialist | 3530 Foothills Rd Ste N, Las Cruces, NM 88011-3621 | 2010-09-23 |
| 1184930869 | Katrina J Hille | Specialist | 102 Wyatt Dr, Las Cruces, NM 88005-2925 | 2010-08-19 |
| 1902131824 | Robert Fishback | Specialist | 4521 Mesa Rico, Las Cruces, NM 88011-7215 | 2009-10-09 |
| 1538399605 | Esperanza Telles | Specialist | 210 W Las Cruces Ave, Las Cruces, NM 88005-1804 | 2009-07-22 |
| 1508090721 | Kent F Jacobs | Specialist | 3610 Southwind Rd, Las Cruces, NM 88007-5556 | 2009-05-04 |
| 1194991448 | April Anne Mancha | Specialist | 1800 Bromilow St, Las Cruces, NM 88001-5151 | 2008-05-07 |
| 1437339512 | Leonel G. Rodarte M.d. | Specialist | 3885 Foothills, Ste. B, Las Cruces, NM 88011 | 2007-11-06 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88001 |
Please comment or provide details below to improve the information on MR. DAVID GERALD DEISSENBERG.
| 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.