City of Dexter

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

CITY OF DEXTER

Practice address

200 E. 2ND St
Dexter, NM 88230

Phone

(505) 734-5482

Fax

(505) 734-6605

NPI assigned

Feb 23, 2007

Last updated

Jul 31, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justin Powell

Title

EMS Director

Phone

(505) 734-5482

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1114053469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "DEXTER",
            "state": "NM",
            "postal_code": "882300249",
            "telephone_number": "505-734-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E. 2ND ST",
            "city": "DEXTER",
            "state": "NM",
            "postal_code": "88230",
            "telephone_number": "505-734-5482",
            "fax_number": "505-734-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF DEXTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "505-734-5482"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00070866",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Chaves
• Genia Louise Devenport, M.S. P.T.
• Dexter Consolidated Schools
• C. Suzanne Diggs-Munson, M.S., CCC-SLP
• Yamileth Garcia
• Teresa Gray, LMSW

• Ambulance in Dexter, NM
• Providers in Dexter, NM by specialty
• Ambulance in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.