Organization Active NPI

Raney Pediatrics

  • Pediatrics Physician
  • Carlsbad, NM
National Provider Identifier
1245519115
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
1747 Issued in NM
Legal business name
RANEY PEDIATRICS
Practice address
2402 W Pierce St
Suite 3 C
Carlsbad, NM 88220-3537
Phone
(575) 887-0530
Fax
(575) 885-6309
NPI assigned
Aug 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Authorized official

Name
Dr. Jeremiah Kent Raney, MD
Title
Pres
Phone
(575) 887-0530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 1747 NM Primary

Addresses

Primary practice location

2402 W Pierce St
Suite 3 C
Carlsbad, NM 88220-3537

Mailing address

2402 W Pierce St
Suite 3 C
Carlsbad, NM 88220-3537
Phone (575) 887-0530

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3097/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1245519115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 W PIERCE ST",
            "address_2": "SUITE 3 C",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203537",
            "telephone_number": "575-887-0530",
            "fax_number": "575-885-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 W PIERCE ST",
            "address_2": "SUITE 3 C",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203537",
            "telephone_number": "575-887-0530",
            "fax_number": "575-885-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANEY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "RANEY",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "575-887-0530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "1747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.