Organization Active NPI

Richard W Hempstead MD PA

  • Dermatology Physician
  • Las Cruces, NM
National Provider Identifier
1144337676
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
RICHARD W HEMPSTEAD MD PA
Practice address
509 S Main Street
Ste B
Las Cruces, NM 88001-1260
Phone
(575) 525-0505
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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

Authorized official

Name
Richard W Hempstead, MDNPI 1730142191
Title
President
Phone
(575) 532-7000

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

509 S Main Street
Ste B
Las Cruces, NM 88001-1260

Mailing address

509 S Main Street
Ste B
Las Cruces, NM 88001-1260
Phone (575) 532-7000

Other identifiers 3

IdentifierTypeStateIssuer
94888566MedicaidNM
NM001245OtherNMBCBS OF NM
010009295OtherRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080218000488 NM Part B Supplier - Clinic/Group Practice 6103909809 Receives reassigned benefits from 1 practitioner
Practice locations: Las Cruces, NM

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D0672804Richard W Hempstead MD PA509 S Main St Suite B, Las Cruces, NM 88001ComplianceApr 7, 2028

National Provider Directory

National Provider Directory

Locations

509 S Main St
Ste B
Las Cruces, NM 88001
Phone (505) 525-0505

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1144337676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S MAIN STREET",
            "address_2": "STE B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011260",
            "telephone_number": "575-532-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S MAIN STREET",
            "address_2": "STE B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011260",
            "telephone_number": "575-525-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD W HEMPSTEAD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "HEMPSTEAD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-532-7000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94888566",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NM",
            "identifier": "NM001245",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "010009295",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.