Active NPI
Alexander A Constantaras, M.D.
- Ophthalmology Physician
- Santa Fe, NM
National Provider Identifier
1154568913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 86-025
- Practice address
- 749 Camino Mirada
Santa Fe, NM 87505-5978 - Phone
- (505) 989-8763
- NPI assigned
- Jan 15, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 86-025 | NM | Primary |
Addresses
Primary practice location
749 Camino Mirada
Santa Fe, NM 87505-5978
Mailing address
749 Camino Mirada
Santa Fe, NM 87505-5978
Phone (505) 989-8763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86-025 | NM | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231977600000",
"number": "1154568913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "749 CAMINO MIRADA",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875055978",
"telephone_number": "505-989-8763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "749 CAMINO MIRADA",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875055978",
"telephone_number": "505-989-8763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONSTANTARAS",
"first_name": "ALEXANDER",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-15",
"last_updated": "2009-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NM",
"license": "86-025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.