Organization Active NPI

PC Mark Race MD PLC

  • Specialist
  • Alamogordo, NM
National Provider Identifier
1164475828
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD2009-0724 Issued in NM
Legal business name
PC MARK RACE MD PLC
Practice address
1501 10TH St
Alamogordo, NM 88310-5044
Phone
(575) 446-5900
Fax
(575) 446-5939
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Authorized official

Name
Charles Mark Race, M.D.NPI 1144275959
Title
President
Phone
(575) 446-5900

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD2009-0724 NM Primary

Addresses

Primary practice location

1501 10TH St
Alamogordo, NM 88310-5044

Mailing address

1501 10TH St
Alamogordo, NM 88310-5044
Phone (575) 446-5900

Other identifiers 2

IdentifierTypeStateIssuer
0417253MedicaidIA
1175OtherIAMIDLANDS

National Provider Directory

National Provider Directory

Locations

804 Kenyon Rd
Ste 320
Fort Dodge, IA 50501
Phone (515) 574-8310

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": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1164475828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 10TH ST",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105044",
            "telephone_number": "575-446-5900",
            "fax_number": "575-446-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 10TH ST",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105044",
            "telephone_number": "575-446-5900",
            "fax_number": "575-446-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PC MARK RACE MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "RACE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-446-5900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NM",
            "license": "MD2009-0724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0417253",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS",
            "identifier": "1175",
            "state": "IA"
        }
    ],
    "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 Mar 7, 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.