Roger J Ames, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD2247 Issued in NM

Practice address

13 Mora Clinic Rd
Mora, NM 87732

Phone

(575) 387-2481

Fax

(575) 387-9149

NPI assigned

Oct 24, 2005

Last updated

Jun 19, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mora Valley Community Health Services Inc

  • Community Health Clinic/Center
  • Mora, NM
  • NPI 1508840117
  NPD (past)
• Mora Valley Community Health Services, Inc.

  • Student Health Clinic/Center
  • Mora, NM
  • NPI 1396104964
  NPD (past)

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1386634087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 209",
            "city": "MORA",
            "state": "NM",
            "postal_code": "877320209",
            "telephone_number": "575-387-2481",
            "fax_number": "575-387-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 MORA CLINIC RD",
            "city": "MORA",
            "state": "NM",
            "postal_code": "87732",
            "telephone_number": "575-387-2481",
            "fax_number": "575-387-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMES",
        "first_name": "ROGER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD2247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deyhle R Adkins, LMSW
• Agnes Martinez Family Health Clinic
• Estrella C. Apolonia, LISW
• Samuel A Aragon
• Bestcare Pharmacy-Mora LLC
• Bestcare Pharmacy-Mora, LLC
• Mary Bunker, CNP

• General Practice Dentistry in Mora, NM
• Providers in Mora, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.