NPIMap

Organization Active NPI

Caroline Kingston MD MPH Family Practice LLC

  • Clinic/Center
  • Santa Fe, NM
National Provider Identifier
1194966747
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
97-89 Issued in NM
Legal business name
CAROLINE KINGSTON MD MPH FAMILY PRACTICE LLC
Practice address
460 Saint Michaels Dr
1204
Santa Fe, NM 87505-7619
Phone
(505) 820-2562
Fax
(505) 986-0904
NPI assigned
Mar 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2009

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

Authorized official

Name
Dr. Caroline Kingston, MD MPHNPI 1750489811
Title
Dr.
Phone
(505) 820-2562

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
Clinic/Center 261Q00000X 97-89 NM Primary

Addresses

Primary practice location

460 Saint Michaels Dr
1204
Santa Fe, NM 87505-7619

Mailing address

460 Saint Michaels Dr
1204
Santa Fe, NM 87505-7619
Phone (505) 820-2562

Other names 1

  • Caroline Kingston MD MPH Family Prectice LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091231000113 NM Part B Supplier - Clinic/Group Practice 0143361998 Receives reassigned benefits from 6 practitioners
Practice locations: Santa Fe, NM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1236729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261526400000",
    "number": "1194966747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 SAINT MICHAELS DR",
            "address_2": "1204",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057619",
            "telephone_number": "505-820-2562",
            "fax_number": "505-986-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 SAINT MICHAELS DR",
            "address_2": "1204",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057619",
            "telephone_number": "505-820-2562",
            "fax_number": "505-986-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINE KINGSTON MD MPH FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-11",
        "last_updated": "2009-12-23",
        "status": "A",
        "authorized_official_last_name": "KINGSTON",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "505-820-2562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD  MPH"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NM",
            "license": "97-89",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caroline Kingston MD MPH Family Prectice LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.