Active NPI
David N Ewing MD PC
- Psychiatry Physician
- Albuquerque, NM
National Provider Identifier
1043207285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 9143
- Legal business name
- DAVID N EWING MD PC
- Practice address
- 2741 Indian School Rd NE
Albuquerque, NM 87106-2653 - Phone
- (505) 255-6002
- NPI assigned
- Oct 3, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David N Ewing, MD
- Title
- President
- Phone
- (505) 255-6002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 9143 | NM | Primary |
Addresses
Primary practice location
2741 Indian School Rd NE
Albuquerque, NM 87106-2653
Mailing address
2741 Indian School Rd NE
Albuquerque, NM 87106-2653
Phone (505) 255-6002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41504 | Medicaid | NM |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201910400000",
"number": "1043207285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2741 INDIAN SCHOOL RD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871062653",
"telephone_number": "505-255-6002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2741 INDIAN SCHOOL RD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871062653",
"telephone_number": "505-255-6002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID N EWING MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-03",
"last_updated": "2008-02-02",
"status": "A",
"authorized_official_last_name": "EWING",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "505-255-6002",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NM",
"license": "9143",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41504",
"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 Feb 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.