Organization Active NPI

Norman Harrison, D.O. Medical Practice PA

  • Family Medicine Physician
  • Las Cruces, NM
National Provider Identifier
1336269679
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A-593 Issued in NM
Legal business name
NORMAN HARRISON, D.O. MEDICAL PRACTICE PA
Practice address
2525 S Telshor Blvd
Suite 104
Las Cruces, NM 88011-5071
Phone
(575) 647-5156
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Authorized official

Name
Dr. Norman D. Harrison, D.O.
Title
President
Phone
(575) 647-5156

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X NM 1600 NM
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A-593 NM Primary

Addresses

Primary practice location

2525 S Telshor Blvd
Suite 104
Las Cruces, NM 88011-5071

Mailing address

2525 S Telshor Blvd
Suite 104
Las Cruces, NM 88011-5071
Phone (575) 647-5156

Other identifiers 3

IdentifierTypeStateIssuer
NM014249OtherNMNORMAN HARRISON BLUECROSS
NM009N98OtherNMROBERT HARRISON BLUECROSS
F9759MedicaidNM

National Provider Directory

National Provider Directory

Locations

225 E Idaho Ave
Ste 26
Las Cruces, NM 88005
Phone (505) 522-1988

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1336269679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 S TELSHOR BLVD",
            "address_2": "SUITE 104",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115071",
            "telephone_number": "575-647-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S TELSHOR BLVD",
            "address_2": "SUITE 104",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115071",
            "telephone_number": "575-647-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN HARRISON, D.O. MEDICAL PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-647-5156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "NM 1600",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "A-593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORMAN HARRISON BLUECROSS",
            "identifier": "NM014249",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROBERT HARRISON BLUECROSS",
            "identifier": "NM009N98",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F9759",
            "state": "NM"
        }
    ],
    "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 Jun 20, 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.

Verify at the official NPI Registry.