Individual provider Active NPI

Javier Salazar Jr., M.D.

  • Family Medicine Physician
  • Alamogordo, NM
National Provider Identifier
1477865764
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2013-0742 Issued in NM
Practice address
2150 Highway 54 S
Alamogordo, NM 88310-7330
Phone
(575) 443-8133
Fax
(575) 443-8055
NPI assigned
Jul 2, 2010
Last updated
Aug 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RS2010-0414 NM
Family Medicine Physician 207Q00000X MD2013-0742 NM Primary

Addresses

Primary practice location

2150 Highway 54 S
Alamogordo, NM 88310-7330

Mailing address

PO Box 370
Hatch, NM 87937-0370
Phone (575) 267-3280

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131206001501 NM Practitioner - Family Practice 3577790062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ben Archer Health CenterGroup PAC ID 7517878796, 39 clinicians

Practice addresses (Care Compare)

2150 Hwy 54 S
Alamogordo, NM 88310-7330
Phone (575) 443-8133

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
RS2010-0414NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ben Archer Health Center CurrentSince Oct 16, 2013 Accepting new patients
Ben Archer Health Center CurrentSince Oct 16, 2013 Accepting new patients
Ben Archer Health Center Current Accepting new patients
Ben Archer Health Center Past Accepting new patients
Ben Archer Health Center Past Accepting new patients

Locations

1501 10th St
Alamogordo, NM 88310
Phone (505) 443-8133

2150 Highway 54 S
Alamogordo, NM 88310
Phone (575) 443-8133

12080 Lindbeck Rd
Las Cruces, NM 88007

1600 Thorpe Rd
Las Cruces, NM 88012
Phone (505) 267-3088

1998 N Motel Blvd
Las Cruces, NM 88007
Phone (575) 541-5941

3331 Del Rey Blvd
Las Cruces, NM 88012
Phone (575) 267-3280

1950 N Date St
Truth Or Consequences, NM 87901
Phone (575) 267-3088

1960 N Date St
Truth Or Consequences, NM 87901
Phone (575) 894-7662

Networks

  • Optimum HealthCare HMO Network

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1477865764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "HATCH",
            "state": "NM",
            "postal_code": "879370370",
            "telephone_number": "575-267-3280",
            "fax_number": "575-267-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 HIGHWAY 54 S",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883107330",
            "telephone_number": "575-443-8133",
            "fax_number": "575-443-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "JAVIER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-02",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "RS2010-0414",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2013-0742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

Verify at the official NPI Registry.