Organization Active NPI

Alan R Jakins MD PC Inc

  • General Practice Physician
  • Roswell, NM
National Provider Identifier
1194003467
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
86 064 Issued in NM
Legal business name
ALAN R JAKINS MD PC INC
Practice address
110 W College Blvd
Ste F
Roswell, NM 88201-5170
Phone
(575) 627-6849
Fax
(575) 627-0080
NPI assigned
Aug 3, 2011
Last updated
Aug 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Authorized official

Name
Mrs. Naomi Jakins
Title
Om
Phone
(575) 627-6849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 86 064 NM Primary

Addresses

Primary practice location

110 W College Blvd
Ste F
Roswell, NM 88201-5170

Mailing address

110 W College Blvd
Ste F
Roswell, NM 88201-5170
Phone (575) 627-6849

National Provider Directory

National Provider Directory

Locations

110 W College Blvd
Ste F
Roswell, NM 88201
Phone (505) 627-6849

NPI Registry JSON

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1194003467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W COLLEGE BLVD",
            "address_2": "STE F",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015170",
            "telephone_number": "575-627-6849",
            "fax_number": "575-627-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W COLLEGE BLVD",
            "address_2": "STE F",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015170",
            "telephone_number": "575-627-6849",
            "fax_number": "575-627-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN R JAKINS MD PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "JAKINS",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "OM",
        "authorized_official_telephone_number": "575-627-6849",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NM",
            "license": "86 064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.