Organization Active NPI

McCurdy Charter School

  • Point of Service
  • Espanola, NM
National Provider Identifier
1497007132
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
MCCURDY CHARTER SCHOOL
Practice address
341 S. McCurdy Rd.
Espanola, NM 87532
Phone
(505) 753-7221
Fax
(505) 753-0192
NPI assigned
Oct 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Authorized official

Name
Ms. Janette Archuleta
Title
Director
Phone
(505) 753-7221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

341 S. McCurdy Rd.
Espanola, NM 87532

Mailing address

PO Box 2250
Espanola, NM 87532-2250
Phone (505) 753-7221

Other identifiers 1

IdentifierTypeStateIssuer
43989331MedicaidNM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1497007132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2250",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322250",
            "telephone_number": "505-753-7221",
            "fax_number": "505-753-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 S. MCCURDY RD.",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "87532",
            "telephone_number": "505-753-7221",
            "fax_number": "505-753-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCURDY CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-04",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "ARCHULETA",
        "authorized_official_first_name": "JANETTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "505-753-7221",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43989331",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Espanola, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.