Active NPI
Raney Pediatrics
- Pediatrics Physician
- Carlsbad, NM
National Provider Identifier
1245519115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 1747
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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 DirectoryInteroperability endpoints
- 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.