NPIMap

Organization Active NPI

Kingsley Clinic of New Mexico, LLC

  • Primary Care Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1316545882
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
KINGSLEY CLINIC OF NEW MEXICO, LLC
Practice address
6300 Riverside Plaza LN NW Ste 100
Albuquerque, NM 87120-1908
Phone
(505) 405-3617
Fax
(505) 370-2053
NPI assigned
Oct 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Authorized official

Name
James Kingsley, MDNPI 1841687142
Title
Owner
Phone
(505) 405-3617

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

6300 Riverside Plaza LN NW Ste 100
Albuquerque, NM 87120-1908

Mailing address

6300 Riverside Plaza LN NW Ste 100
Albuquerque, NM 87120-1908
Phone (505) 405-3617

National Provider Directory

National Provider Directory

Locations

6300 Riverside Plaza Ln NW
Ste 100
Albuquerque, NM 87120
Phone (505) 405-3617

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1316545882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 RIVERSIDE PLAZA LN NW STE 100",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201908",
            "telephone_number": "505-405-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 RIVERSIDE PLAZA LN NW STE 100",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201908",
            "telephone_number": "505-405-3617",
            "fax_number": "505-370-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSLEY CLINIC OF NEW MEXICO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "KINGSLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-405-3617",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.