Organization Active NPI

Alamogordo Ear Nose & Throat - Facial Plastic Surgery PC

  • Medical Specialty Clinic/Center
  • Alamogordo, NM
National Provider Identifier
1497872931
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
ALAMOGORDO EAR NOSE & THROAT - FACIAL PLASTIC SURGERY PC
Practice address
1401 10TH St Ste C
Alamogordo, NM 88310-5012
Phone
(505) 437-4533
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Timothy W Frost, MD
Title
Owner
Phone
(505) 437-4533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

1401 10TH St Ste C
Alamogordo, NM 88310-5012

Mailing address

1401 10TH St Ste C
Alamogordo, NM 88310-5012
Phone (505) 437-4533

Other identifiers 1

IdentifierTypeStateIssuer
44378MedicaidNM

National Provider Directory

National Provider Directory

Locations

1401 10th St
Ste C
Alamogordo, NM 88310
Phone (575) 437-4327

4351 E Lohman Ave
Ste 103
Las Cruces, NM 88011
Phone (575) 521-9795

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1497872931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 10TH ST STE C",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105012",
            "telephone_number": "505-437-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 10TH ST STE C",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105012",
            "telephone_number": "505-437-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMOGORDO EAR NOSE & THROAT - FACIAL PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "FROST",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-437-4533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44378",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.