Eddie Zepeda

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EDDIE ZEPEDA

Doing business as

Primecare Orthotics & Prosthetics

Practice address

1401 S Don Roser Dr Ste E2
Las Cruces, NM 88011-4576

Phone

(575) 523-2273

Fax

(575) 526-2068

NPI assigned

Nov 24, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eddie Zepeda

Title

Certified Orthotist/Prosthetis

Phone

(575) 523-2273

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Primecare Orthotics & Prosthetics Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Eddie Zepeda, CPO

  • Prosthetic/Orthotic Supplier
  • Las Cruces, NM
  • NPI 1942441993

  O20100930011524

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1003118050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S DON ROSER DR",
            "address_2": "SUITE E2",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114567",
            "telephone_number": "575-523-2273",
            "fax_number": "575-526-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S DON ROSER DR STE E2",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114576",
            "telephone_number": "575-523-2273",
            "fax_number": "575-526-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDDIE ZEPEDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-24",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "ZEPEDA",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "CERTIFIED ORTHOTIST/PROSTHETIS",
        "authorized_official_telephone_number": "575-523-2273"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09176071",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131956",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primecare Orthotics & Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Annalise Eaton
• Audrey Eaton, M.D.
• Paul Vincent Ebell, BA
• Kathleen Mae Ebueng
• Savanna Eby
• Brittany Eden
• Debra Edgerton, DDS
• Thomas Edmonds
• Eduardo a Castrejon MD PA
• Ana Edwards, PHARMD

• Durable Medical Equipment & Medical Supplies in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Durable Medical Equipment & Medical Supplies in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.