NPIMap

Organization Active NPI

Eastern New Mexico University-Roswell Branch Community College

  • Dental Clinic/Center
  • Roswell, NM
National Provider Identifier
1386813087
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
EASTERN NEW MEXICO UNIVERSITY-ROSWELL BRANCH COMMUNITY COLLEGE
Practice address
31 Gail Harris St
Roswell, NM 88203-8190
Phone
(575) 347-3462
NPI assigned
Feb 27, 2008
Last updated
Jul 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Mrs. Jane Batson, RN
Title
Division Chair
Phone
(575) 624-7233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

31 Gail Harris St
Roswell, NM 88203-8190

Mailing address

PO Box 6000
Roswell, NM 88202-6000
Phone (575) 624-7233

Other identifiers 1

IdentifierTypeStateIssuer
010962MedicaidNM

Other names 1

  • Community Dental Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Nmu-Roswell Roswell High School SBHC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

31 Gail Harris St
Roswell, NM 88203
Phone (575) 347-3400

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": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1386813087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6000",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882026000",
            "telephone_number": "575-624-7233",
            "fax_number": "575-624-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 GAIL HARRIS ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882038190",
            "telephone_number": "575-347-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN NEW MEXICO UNIVERSITY-ROSWELL BRANCH COMMUNITY COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "BATSON",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "DIVISION CHAIR",
        "authorized_official_telephone_number": "575-624-7233",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010962",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Dental Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.