Organization Active NPI

Caperton Fertility Institute, LLC

  • Specialist
  • Albuquerque, NM
National Provider Identifier
1013367440
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD2005-0092 Issued in NM
Legal business name
CAPERTON FERTILITY INSTITUTE, LLC
Practice address
6500 Jefferson St NE Ste 250
Albuquerque, NM 87109-3490
Phone
(505) 702-8020
Fax
(505) 796-8022
NPI assigned
Jun 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Authorized official

Name
Charles Caperton II, MDNPI 1609984905
Title
Owner
Phone
(505) 553-3535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD2005-0092 NM Primary
Medical Specialty Clinic/Center 261QM2500X MD2005-0092 NM

Addresses

Primary practice location

6500 Jefferson St NE Ste 250
Albuquerque, NM 87109-3490

Mailing address

6500 Jefferson St NE Ste 250
Albuquerque, NM 87109-3490
Phone (505) 702-8020

Other identifiers 2

IdentifierTypeStateIssuer
1609984905OtherNMNPI
1730253477OtherNMNPI

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2114250Caperton Fertility Institute6500 Jefferson St Suite 250, Albuquerque, NM 87109AccreditationDec 26, 2027

National Provider Directory

National Provider Directory

Locations

6500 Jefferson St NE
Ste 250
Albuquerque, NM 87109
Phone (505) 702-8020

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1013367440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 JEFFERSON ST NE STE 250",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093490",
            "telephone_number": "505-702-8020",
            "fax_number": "505-796-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 JEFFERSON ST NE STE 250",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093490",
            "telephone_number": "505-702-8020",
            "fax_number": "505-796-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPERTON FERTILITY INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "CAPERTON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-553-3535",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NM",
            "license": "MD2005-0092",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NM",
            "license": "MD2005-0092",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1609984905",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1730253477",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.