Active NPI
Joanne M Ray, DO
- Pediatrics Physician
- Las Cruces, NM
National Provider Identifier
1245301795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A105096
- Practice address
- 755 S Telshor Blvd BLDG S
Suite 202
Las Cruces, NM 88011-4688 - Phone
- (505) 532-5912
- Fax
- (505) 532-5915
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A105096 | NM | Primary |
Addresses
Primary practice location
755 S Telshor Blvd BLDG S
Suite 202
Las Cruces, NM 88011-4688
Mailing address
755 S Telshor Blvd BLDG S
Suite 202
Las Cruces, NM 88011-4688
Phone (505) 532-5912
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A105096 | NM | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351036800000",
"number": "1245301795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 S TELSHOR BLVD BLDG S",
"address_2": "SUITE 202",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114688",
"telephone_number": "505-532-5912",
"fax_number": "505-532-5915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 S TELSHOR BLVD BLDG S",
"address_2": "SUITE 202",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114688",
"telephone_number": "505-532-5912",
"fax_number": "505-532-5915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "JOANNE",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2012-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NM",
"license": "A105096",
"primary": true
}
],
"identifiers": [],
"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 Oct 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.