Organization Active NPI

Alamogordo Nephrology

  • Specialist
  • Alamogordo, NM
National Provider Identifier
1043371776
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A111499 Issued in NM
Legal business name
ALAMOGORDO NEPHROLOGY
Practice address
2474 Indian Wells Rd
Alamogordo, NM 88310
Phone
(915) 855-8519
Fax
(915) 849-8238
NPI assigned
Dec 13, 2006
Last updated
Dec 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Authorized official

Name
Dr. Michael Alfonso Velasquez, D.O.NPI 1639161698
Title
President
Phone
(915) 855-8519

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A111499 NM Primary

Addresses

Primary practice location

2474 Indian Wells Rd
Alamogordo, NM 88310

Mailing address

935 Rim Rd
El Paso, TX 79902
Phone (915) 855-8519

Other identifiers 1

IdentifierTypeStateIssuer
71226MedicaidNM

National Provider Directory

National Provider Directory

Locations

1212 9th St
Ste E
Alamogordo, NM 88310
Phone (505) 437-5716

2474 Indian Wells Rd
Alamogordo, NM 88310
Phone (505) 443-0339

225 E Idaho Ave
Las Cruces, NM 88005
Phone (505) 521-8080

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1043371776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 RIM RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79902",
            "telephone_number": "915-855-8519",
            "fax_number": "915-849-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2474 INDIAN WELLS RD",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "88310",
            "telephone_number": "915-855-8519",
            "fax_number": "915-849-8238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMOGORDO NEPHROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "VELASQUEZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALFONSO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-855-8519",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "A111499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71226",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.