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SANDROCK PODIATRY LLC
NPI 1124809066
Podiatrist in Farmington, NM

Active since October 06, 2023
4707 RIO ST, FARMINGTON, NM 87402(505) 787-9035 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 23, 2024, Oct 6, 2023 (2 updates tracked since 2023).

About Sandrock Podiatry Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDROCK PODIATRY LLC (NPI 1124809066) is a healthcare organization registered as a podiatrist in Farmington, New Mexico and active in the NPI registry since October 2023. The organization lists Eric Haag, Owner/podiatrist, as its authorized official.

NPPES Registry Identity

NPI1124809066
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameSANDROCK PODIATRY LLC
Location Address4707 RIO STFarmington, NM 87402-5323
Mailing Address4707 Rio StFarmington, NM 87402-5323 · (505) 787-9003 · Fax (505) 291-3293
Phone(505) 787-9035
Organization SubpartNo
Authorized OfficialEric HaagOwner/podiatrist · (505) 787-9035
Enumeration DateOctober 6, 2023
Last NPPES UpdateAugust 23, 20242 updates tracked since enumeration
NPPES CertifiedAugust 23, 2024
✔ NPI 1124809066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X
4707 RIO ST, Farmington, NM 87402
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Other Identifiers 2

Other6N8581NM · Nm-group Medicare Ptan
Medicaid74122355NM

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIC C HAAG DPM
Podiatrist
4707 RIO ST
FARMINGTON, NM 87402
San Juan County (505) 787-9035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandrock Podiatry LLC's NPI number?

The NPI number for Sandrock Podiatry LLC is 1124809066. It was assigned to this organization in the NPPES registry on October 6, 2023.

Where is Sandrock Podiatry LLC located?

Sandrock Podiatry LLC is located at 4707 Rio St, Farmington, NM 87402. The listed phone number is (505) 787-9035.

What is Sandrock Podiatry LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Sandrock Podiatry LLC was last updated on August 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.