Organization Active NPI

Las Cruces Medical Supply

  • Oxygen Equipment & Supplies (DME)
  • Las Cruces, NM
National Provider Identifier
1174535066
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
LAS CRUCES MEDICAL SUPPLY
Practice address
2293 Divot Ave
Suite 2
Las Cruces, NM 88001-8416
Phone
(505) 541-0007
Fax
(505) 541-0027
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Deann Najar
Title
Owner
Phone
(505) 541-0007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

2293 Divot Ave
Suite 2
Las Cruces, NM 88001-8416

Mailing address

2293 Divot Ave
Suite 2
Las Cruces, NM 88001-8416
Phone (505) 541-0007

Other identifiers 2

IdentifierTypeStateIssuer
00NM00T29FOtherNMBLUE CROSS/BLUE SHIELD
78137MedicaidNM

National Provider Directory

National Provider Directory
Tax ID family
Las Cruces Medical Supply2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2293 Divot Ave
Ste 2
Las Cruces, NM 88001
Phone (505) 541-0007

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174535066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2293 DIVOT AVE",
            "address_2": "SUITE 2",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880018416",
            "telephone_number": "505-541-0007",
            "fax_number": "505-541-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2293 DIVOT AVE",
            "address_2": "SUITE 2",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880018416",
            "telephone_number": "505-541-0007",
            "fax_number": "505-541-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS CRUCES MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAJAR",
        "authorized_official_first_name": "DEANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-541-0007",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "00NM00T29F",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78137",
            "state": "NM"
        }
    ],
    "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 Aug 22, 2020; 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.