Active NPI
Charles M Zurek III
- Driver
- Las Cruces, NM
National Provider Identifier
1013061340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 2321 Westgate CT Ste B
Las Cruces, NM 88005-4138 - Phone
- (505) 526-3251
- Fax
- (505) 526-3710
- NPI assigned
- Jan 23, 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 |
|---|---|---|---|---|
| Driver | 172A00000X | NM | Primary |
Addresses
Primary practice location
2321 Westgate CT Ste B
Las Cruces, NM 88005-4138
Mailing address
2321 Westgate CT Ste B
Las Cruces, NM 88005-4138
Phone (505) 526-3251
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54834759 | Medicaid | NM | |
| 10021674 | Other | NM | LOVELACE HEALTH PLAN |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1013061340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2321 WESTGATE CT STE B",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880054138",
"telephone_number": "505-526-3251",
"fax_number": "505-526-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2321 WESTGATE CT STE B",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880054138",
"telephone_number": "505-526-3251",
"fax_number": "505-526-3710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUREK",
"first_name": "CHARLES",
"middle_name": "M",
"name_prefix": "Mr.",
"name_suffix": "III",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "NM",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54834759",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE HEALTH PLAN",
"identifier": "10021674",
"state": "NM"
}
],
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.