Active NPI
David A Beauchamp, MD
- Anesthesiology Physician
- Alamogordo, NM
National Provider Identifier
1205822897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 95-13
- Practice address
- 2669 Scenic Dr
Alamogordo, NM 88310-8700 - Phone
- (505) 439-6100
- NPI assigned
- Sep 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 95-13 | NM | Primary |
Addresses
Primary practice location
2669 Scenic Dr
Alamogordo, NM 88310-8700
Mailing address
2007 Bellamah Dr
Alamogordo, NM 88310-4309
Phone (505) 439-1269
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM009475 | Other | NM | BCBS NM INDIVIDUAL |
| P00227776 | Other | NM | RR MEDICARE INDIVIDUAL |
| 54852102 | Medicaid | AZ | |
| H5041 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95-13 | NM | MD | Anesthesiology Physician |
| 9513 | NM | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201478400000",
"number": "1205822897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 BELLAMAH DR",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883104309",
"telephone_number": "505-439-1269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2669 SCENIC DR",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883108700",
"telephone_number": "505-439-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAUCHAMP",
"first_name": "DAVID",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2008-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NM",
"license": "95-13",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NM INDIVIDUAL",
"identifier": "NM009475",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE INDIVIDUAL",
"identifier": "P00227776",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54852102",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "H5041",
"state": "NM"
}
],
"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 Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.