Action-Occmed-M.M.I., P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

87-184 Issued in NM

Legal business name

ACTION-OCCMED-M.M.I., P.C.

Practice address

530 N Telshor Blvd
Suite B
Las Cruces, NM 88011-8243

Phone

(575) 556-1011

Fax

(575) 532-9581

NPI assigned

Oct 28, 2007

Last updated

Oct 28, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edwin Lee Kennedy, M.D.

Title

President

Phone

(575) 556-1011

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1193529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193529600000",
    "number": "1386823227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N TELSHOR BLVD",
            "address_2": "SUITE B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118243",
            "telephone_number": "575-556-1011",
            "fax_number": "575-532-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N TELSHOR BLVD",
            "address_2": "SUITE B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118243",
            "telephone_number": "575-556-1011",
            "fax_number": "575-532-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION-OCCMED-M.M.I., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-28",
        "last_updated": "2007-10-28",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-556-1011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NM",
            "license": "87-184",
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NM",
            "license": "87-104",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joaquin Acosta, PHARMD.
• Lucia Acosta, G-267
• Marlene Acosta, LMSW
• Rosa Isabel Acosta, CHW
• Steven L Acosta, M.D.
• Cynthia Ann Adams
• Eve M Adams, PH.D.
• Jennifer Adams, PT
• Krisie Adams
• Naketa Adams

• Primary Care Clinic/Center in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Primary Care Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2007; 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.