NPIMap

Organization Active NPI

Felix C. Madrid, D.D.S.,P.a.

  • Dentist
  • Rio Rancho, NM
National Provider Identifier
1164650388
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DD1864 Issued in NM
Legal business name
FELIX C. MADRID, D.D.S.,P.A.
Practice address
2345 Southern Blvd SE
Suite B-1
Rio Rancho, NM 87124-3760
Phone
(505) 892-0111
Fax
(505) 994-1004
NPI assigned
Jun 25, 2009
Last updated
Jun 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Authorized official

Name
Dr. Felix C. Madrid, D.D.S.NPI 1528088903
Title
President
Phone
(505) 892-0111

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
Dentist 122300000X DD1864 NM Primary

Addresses

Primary practice location

2345 Southern Blvd SE
Suite B-1
Rio Rancho, NM 87124-3760

Mailing address

2345 Southern Blvd SE
Suite B-1
Rio Rancho, NM 87124-3760
Phone (505) 892-0111

Other identifiers 1

IdentifierTypeStateIssuer
3272/109077MedicaidNM

National Provider Directory

National Provider Directory

Locations

2345 Southern Blvd SE
Ste B1
Rio Rancho, NM 87124
Phone (505) 892-0111

Practitioners & affiliated clinicians

Practitioners 3

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": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1164650388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 SOUTHERN BLVD SE",
            "address_2": "SUITE B-1",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871243760",
            "telephone_number": "505-892-0111",
            "fax_number": "505-994-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 SOUTHERN BLVD SE",
            "address_2": "SUITE B-1",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871243760",
            "telephone_number": "505-892-0111",
            "fax_number": "505-994-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELIX C. MADRID, D.D.S.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "MADRID",
        "authorized_official_first_name": "FELIX",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-892-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD1864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3272/109077",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.

Verify at the official NPI Registry.