IDEAL OPTION, PLLC – NPI #1639690050
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Health Care Provider Taxonomy Code for Family Medicine

IDEAL OPTION, PLLC is a provider located in SANTA FE, NM. NPPES has assigned the NPI number 1639690050 to IDEAL OPTION, PLLC on July 06, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 3 years ago on Aug 30, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IDEAL OPTION, PLLC below.

NPI Profile for
IDEAL OPTION, PLLC

NPI Number
1639690050
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
IDEAL OPTION, PLLC
Primary location
2019 GALISTEO ST STE H1
SANTA FE, NM 87505-2106
Phone: (509) 222-1275 Fax:
Mailing address
8656 W GAGE BLVD
SIUTE 301B
KENNEWICK, WA 99336-7145
Phone: (509) 222-1275 Fax: (509) 491-3031
Organization Subpart
No
Authorized Official
BRIAN DAWSON
CMO
Phone: (509) 222-1275
Updated
Certification Date
Aug 30, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0401X
- Family Medicine / Addiction Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.