NPIMap

Organization Active NPI

William J. Wengs, MD PC

  • Clinical Neurophysiology Physician
  • Santa Fe, NM
National Provider Identifier
1023290160
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
98414 Issued in NM
Legal business name
WILLIAM J. WENGS, MD PC
Practice address
2009 Botulph Rd
Suite 500
Santa Fe, NM 87505-1107
Phone
(505) 986-2890
Fax
(505) 986-2893
NPI assigned
Nov 30, 2007
Last updated
Dec 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Authorized official

Name
Dr. William J Wengs, MDNPI 1649363649
Title
President/Owner
Phone
(505) 986-2890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X 98414 NM Primary

Addresses

Primary practice location

2009 Botulph Rd
Suite 500
Santa Fe, NM 87505-1107

Mailing address

2009 Botulph Rd
Suite 500
Santa Fe, NM 87505-1107
Phone (505) 986-2890

Other identifiers 1

IdentifierTypeStateIssuer
T9528MedicaidNM

Other names 1

  • William Wengs, MD Other name

National Provider Directory

National Provider Directory

Locations

2009 Botulph Rd
Ste 500
Santa Fe, NM 87505
Phone (505) 986-2890

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1023290160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 BOTULPH RD",
            "address_2": "SUITE 500",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051107",
            "telephone_number": "505-986-2890",
            "fax_number": "505-986-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 BOTULPH RD",
            "address_2": "SUITE 500",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051107",
            "telephone_number": "505-986-2890",
            "fax_number": "505-986-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J. WENGS, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "WENGS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "505-986-2890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NM",
            "license": "98414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T9528",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William Wengs, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.