Organization Active NPI

Jan K. Siebersma, PC

  • Obstetrics & Gynecology Physician
  • Las Cruces, NM
National Provider Identifier
1265524508
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
92-345 Issued in NM
Legal business name
JAN K. SIEBERSMA, PC
Practice address
2100 S Triviz Dr Ste H
Las Cruces, NM 88001-0601
Phone
(505) 522-9793
Fax
(505) 532-9019
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Jan K Siebersma, MD
Title
President
Phone
(505) 522-9793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 92-345 NM Primary

Addresses

Primary practice location

2100 S Triviz Dr Ste H
Las Cruces, NM 88001-0601

Mailing address

2100 S Triviz Dr Ste H
Las Cruces, NM 88001-0601
Phone (505) 522-9793

National Provider Directory

National Provider Directory

Locations

2100 S Triviz Dr
Ste H
Las Cruces, NM 88001
Phone (505) 522-9793

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1265524508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 S TRIVIZ DR STE H",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880010601",
            "telephone_number": "505-522-9793",
            "fax_number": "505-532-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S TRIVIZ DR STE H",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880010601",
            "telephone_number": "505-522-9793",
            "fax_number": "505-532-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN K. SIEBERSMA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "SIEBERSMA",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-522-9793",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "92-345",
            "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 May 21, 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.

Verify at the official NPI Registry.