Individual provider Active NPI

Martha Kay Dummer, M.D.

  • Internal Medicine Physician
  • Santa Fe, NM
National Provider Identifier
1023109501
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
98-250NM Issued in NM
Practice address
2213 Brothers Rd
Suite 600
Santa Fe, NM 87505-6993
Phone
(505) 986-8645
Fax
(505) 986-8662
NPI assigned
Sep 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 98-250NM NM Primary

Addresses

Primary practice location

2213 Brothers Rd
Suite 600
Santa Fe, NM 87505-6993

Mailing address

1426 Miracerros Loop S
Santa Fe, NM 87505-4024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130719000619 NM Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 4385885177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
98-250NMNMMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023109501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 MIRACERROS LOOP S",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 BROTHERS RD",
            "address_2": "SUITE 600",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056993",
            "telephone_number": "505-986-8645",
            "fax_number": "505-986-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMMER",
        "first_name": "MARTHA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "98-250NM",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.