Active NPI
Alan C Davis, M.D.
- Orthopaedic Surgery Physician
- Las Cruces, NM
National Provider Identifier
1003963539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 83-185
- Practice address
- 3005 Hillrise Dr
Las Cruces, NM 88011-4703 - Phone
- (575) 521-1122
- Fax
- (575) 521-1299
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 83-185 | NM | Primary |
Addresses
Primary practice location
3005 Hillrise Dr
Las Cruces, NM 88011-4703
Mailing address
3005 Hillrise Dr
Las Cruces, NM 88011-4703
Phone (575) 521-1122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83-185 | NM | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493683200000",
"number": "1003963539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3005 HILLRISE DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114703",
"telephone_number": "575-521-1122",
"fax_number": "575-521-1299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 HILLRISE DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114703",
"telephone_number": "575-521-1122",
"fax_number": "575-521-1299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ALAN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2017-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NM",
"license": "83-185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.