Organization Active NPI

Leonel G. Rodarte M.D.

  • Psychiatry Physician
  • Las Cruces, NM
National Provider Identifier
1437339512
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
NM2002-0380 Issued in NM
Legal business name
LEONEL G. RODARTE M.D.
Practice address
3885 Foothills
Ste. B
Las Cruces, NM 88011
Phone
(575) 522-5111
Fax
(575) 522-5115
NPI assigned
Nov 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Authorized official

Name
Leonel G. Rodarte, M.D.
Title
Owner
Phone
(575) 522-5111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 2002-0380 NM
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X NM2002-0380 NM Primary

Addresses

Primary practice location

3885 Foothills
Ste. B
Las Cruces, NM 88011

Mailing address

3885 Foothills
Ste. B
Las Cruces, NM 88011
Phone (575) 522-5111

Other identifiers 1

IdentifierTypeStateIssuer
32274050MedicaidNM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1437339512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3885 FOOTHILLS",
            "address_2": "STE. B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88011",
            "telephone_number": "575-522-5111",
            "fax_number": "575-522-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 FOOTHILLS",
            "address_2": "STE. B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88011",
            "telephone_number": "575-522-5111",
            "fax_number": "575-522-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONEL G. RODARTE M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "RODARTE",
        "authorized_official_first_name": "LEONEL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-522-5111",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NM",
            "license": "2002-0380",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "NM2002-0380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32274050",
            "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 Oct 25, 2010; 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.