NPIMap

Organization Active NPI

Elite Primary Care LLC

Doing business as Elite Orthotics

  • Durable Medical Equipment & Medical Supplies
  • Las Cruces, NM
National Provider Identifier
1295496685
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ELITE PRIMARY CARE LLC
Doing business as
Elite Orthotics
Practice address
1401 S Don Roser Dr Ste F1
Las Cruces, NM 88011-4577
Phone
(575) 303-2929
Fax
(575) 233-6260
NPI assigned
Jan 6, 2022
Last updated
Jan 6, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ELITE PRIMARY CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Authorized official

Name
Jaime Sanchez, CNPNPI 1093178766
Title
Officer
Phone
(575) 993-9890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

1401 S Don Roser Dr Ste F1
Las Cruces, NM 88011-4577

Mailing address

PO Box 2845
Las Cruces, NM 88004-2845
Phone (575) 303-2929

Other names 1

  • Elite Orthotics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elite Primary Care LLC4 organizations share this tax ID, including this one
Part of
Elite Primary Care LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1401 S Don Roser Dr
Ste F1
Las Cruces, NM 88011
Phone (575) 303-2929

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1295496685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2845",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880042845",
            "telephone_number": "575-303-2929",
            "fax_number": "575-233-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S DON ROSER DR STE F1",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114577",
            "telephone_number": "575-303-2929",
            "fax_number": "575-233-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PRIMARY CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELITE PRIMARY CARE, LLC",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "575-993-9890",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 6, 2022; 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.