Active NPI
Terry W Menning, DR
- Optometrist
- Grants, NM
National Provider Identifier
1295890937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 202
- Practice address
- 215 1/2 N First St
Grants, NM 87020-2540 - Phone
- (505) 287-4833
- NPI assigned
- Dec 22, 2006
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 202 | NM | Primary |
Addresses
Primary practice location
215 1/2 N First St
Grants, NM 87020-2540
Mailing address
215 1/2 N First St
Grants, NM 87020-2540
Phone (505) 287-4833
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P8220 | Medicaid | NM | |
| 33580 | Other | NM | DAVIS |
| 201006763 | Other | NM | PRES |
| 155767181 | Other | NM | BCBS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202 | NM | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374710400000",
"number": "1295890937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 1/2 N FIRST ST",
"city": "GRANTS",
"state": "NM",
"postal_code": "870202540",
"telephone_number": "505-287-4833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 1/2 N FIRST ST",
"city": "GRANTS",
"state": "NM",
"postal_code": "870202540",
"telephone_number": "505-287-4833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENNING",
"first_name": "TERRY",
"middle_name": "W",
"credential": "DR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-22",
"last_updated": "2013-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NM",
"license": "202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P8220",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS",
"identifier": "33580",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRES",
"identifier": "201006763",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "155767181",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grants, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.