SANDIA PLASTIC SURGERY, PC
NPI 1407171408
Plastic Surgery in Albuquerque, NM

NPI Status: Active since April 01, 2010

Contact Information

801 ENCINO PLACE NE
SUITE D7
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 842-0066
Fax: (505) 842-9325

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  • Organization
  • Plastic Surgery

About SANDIA PLASTIC SURGERY, PC

This page provides the complete NPI Profile along with additional information for Sandia Plastic Surgery, Pc, a provider established in Albuquerque, New Mexico operating as a Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1407171408 assigned on April 2010. The practitioner's primary taxonomy code is 208200000X with license number MD2007-0451 (NM). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jennifer W.h. Chan M.d. (Owner/sole Member)

NPI
1407171408
Provider Name
SANDIA PLASTIC SURGERY, PC
Entity Type
Organization
Location Address
801 ENCINO PLACE NE SUITE D7 ALBUQUERQUE, NM 87102
Location Phone
(505) 842-0066
Location Fax
(505) 842-9325
Mailing Address
801 ENCINO PLACE NE SUITE D7 ALBUQUERQUE, NM 87102
Mailing Phone
(505) 842-0066
Mailing Fax
(505) 842-9325
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-01-2010
Last Update Date
04-15-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Plastic Surgery

Taxonomy Code
208200000X
Type
Allopathic & Osteopathic Physicians
License No.
MD2007-0451
License State
NM
Taxonomy Description
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIFER W.H. CHAN M.D.

Authorized Official Title
OWNER/SOLE MEMBER
Authorized Official Phone
(505) 842-0066

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1407171408
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
240727240
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 0 + 7 + 2 + 7 + 2 + 4 + 0 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1407171408 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1609065184AMERICAN CURRENT CARE P.A.
Organization
Clinic/Center801 ENCINO PLACE NE SUITE E-12
ALBUQUERQUE, NM 87102
(505) 842-5151
1851752497MRS. DAWN KRISTIN BUSTAMANTE FNP-BC
Individual
Nurse Practitioner (Family)801 ENCINO PLACE NE SUITE A6
ALBUQUERQUE, NM 87102
(575) 636-3594

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407171408, enumerated in the NPI registry as an "organization" on April 01, 2010

The provider is located at 801 Encino Place Ne Suite D7 Albuquerque, Nm 87102 and the phone number is (505) 842-0066

This medical organization specializes in Plastic Surgery with taxonomy code 208200000X

This NPI record was last updated on April 01, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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