Active NPI
Dennis Madrid, M.D.
- Anesthesiology Physician
- Los Lunas, NM
National Provider Identifier
1275805152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 85-237
- Practice address
- 15 Juniper PL
Los Lunas, NM 87031-5781 - Phone
- (760) 585-6632
- NPI assigned
- Feb 7, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 85-237 | NM | Primary |
Addresses
Primary practice location
15 Juniper PL
Los Lunas, NM 87031-5781
Mailing address
15 Juniper PL
Los Lunas, NM 87031-5781
Phone (760) 585-6632
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W2687 | Medicaid | NM |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85-237 | NM | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328572800000",
"number": "1275805152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 JUNIPER PL",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870315781",
"telephone_number": "760-585-6632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 JUNIPER PL",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870315781",
"telephone_number": "760-585-6632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADRID",
"first_name": "DENNIS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-07",
"last_updated": "2012-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NM",
"license": "85-237",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "W2687",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Lunas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.