Active NPI
Robert John Thomsen, MD
- Dermatology Physician
- Los Alamos, NM
National Provider Identifier
1528066826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 81129
- Practice address
- 3917 West Rd
Suite 150
Los Alamos, NM 87544-2275 - Phone
- (505) 662-4351
- Fax
- (505) 662-4351
- NPI assigned
- Jul 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 81129 | NM | Primary |
Addresses
Primary practice location
3917 West Rd
Suite 150
Los Alamos, NM 87544-2275
Mailing address
3917 West Rd
Suite 150
Los Alamos, NM 87544-2275
Phone (505) 662-4351
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000005355 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262563200000",
"number": "1528066826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3917 WEST RD",
"address_2": "SUITE 150",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "875442275",
"telephone_number": "505-662-4351",
"fax_number": "505-662-4351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3917 WEST RD",
"address_2": "SUITE 150",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "875442275",
"telephone_number": "505-662-4351",
"fax_number": "505-662-4351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMSEN",
"first_name": "ROBERT",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-11",
"last_updated": "2010-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NM",
"license": "81129",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000005355",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Alamos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.