Organization Active NPI

David N Ewing MD PC

  • Psychiatry Physician
  • Albuquerque, NM
National Provider Identifier
1043207285
Registry record updated Feb 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
9143 Issued in NM
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

Updated by the provider on Feb 2, 2008

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
41504MedicaidNM

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.