Individual provider Active NPI

John J Anderson, DPM

  • Podiatrist
  • Alamogordo, NM
National Provider Identifier
1235101940
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
284 Issued in NM
Practice address
2301 Indian Wells Rd
Suite a
Alamogordo, NM 88310-4607
Phone
(575) 434-0639
Fax
(575) 434-4148
NPI assigned
Feb 6, 2006
Last updated
Mar 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 284 NM Primary
Primary Podiatric Medicine Podiatrist 213EP1101X 284 NM
Radiology Podiatrist 213ER0200X 284 NM
Sports Medicine Podiatrist 213ES0000X 284 NM
Foot & Ankle Surgery Podiatrist 213ES0103X 284 NM
Foot Surgery Podiatrist 213ES0131X 284 NM

Addresses

Primary practice location

2301 Indian Wells Rd
Suite a
Alamogordo, NM 88310-4607

Mailing address

2301 Indian Wells Rd
Suite a
Alamogordo, NM 88310-4607
Phone (575) 434-0639

Other identifiers 3

IdentifierTypeStateIssuer
201038108OtherNMPRESBYTERIAN HEALTH PLAN
NM005A02OtherNMBLUE CROSS BLUE SHIELD ID
000L1222MedicaidNM

Other names 1

  • Mr. John J Anderson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100104000653 NM Practitioner - Podiatry 2163426040 Reassigns benefits to 2 organizations
I20260507002262 AZ Practitioner - Podiatry 2163426040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kaiser Permanente School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bradley L Newswander, DPM,PLCGroup PAC ID 4082690771, 4 clinicians

Practice addresses (Care Compare)

37200 N Gantzel Rd
Suite 250
Queen Creek, AZ 85140-7386
Phone (480) 321-8267

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Mexico Bone and Joint Institute PC Foot & Ankle Surgery CurrentSince Jul 29, 2002 Accepting new patients
Otero County Hospital Association CurrentSince Apr 1, 2025 Accepting new patients
Bradley L Newswander, DPM,PLC Podiatrist CurrentSince Apr 1, 2026 Accepting new patients
Otero County Hospital Association CurrentSince Apr 1, 2025 Accepting new patients
New Mexico Bone and Joint Institute PC Foot & Ankle Surgery CurrentSince Jul 29, 2002 Accepting new patients
Southern New Mexico Surgery Center, LLC PastSince Oct 20, 2004 Accepting new patients

Locations

37200 N Gantzel Rd
Ste 250
San Tan Vly, AZ 85140
Phone (480) 321-8267

2301 Indian Wells Rd
Ste A
Alamogordo, NM 88310
Phone (505) 434-0639

2301 Indian Wells Rd
Ste B
Alamogordo, NM 88310
Phone (575) 437-0890

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

2951 N Roadrunner Pkwy
Las Cruces, NM 88011
Phone (575) 434-0639

675 Avenida de Mesilla
Las Cruces, NM 88005
Phone (505) 525-3535

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1235101940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 INDIAN WELLS RD",
            "address_2": "SUITE A",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883104607",
            "telephone_number": "575-434-0639",
            "fax_number": "575-434-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 INDIAN WELLS RD",
            "address_2": "SUITE A",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883104607",
            "telephone_number": "575-434-0639",
            "fax_number": "575-434-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NM",
            "license": "284",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NM",
            "license": "284",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "NM",
            "license": "284",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "NM",
            "license": "284",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NM",
            "license": "284",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NM",
            "license": "284",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH PLAN",
            "identifier": "201038108",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "NM005A02",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000L1222",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "ANDERSON",
            "middle_name": "J",
            "prefix": "MR.",
            "credential": "DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alamogordo, NM

Sources for this page

Verify at the official NPI Registry.