NPIMap

Organization Active NPI

LC-ENT, LLC

  • Exclusive Provider Organization
  • Las Cruces, NM
National Provider Identifier
1528112109
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
2470 Issued in NM
Legal business name
LC-ENT, LLC
Practice address
1130 Commerce Dr
Las Cruces, NM 88011-8209
Phone
(575) 521-3025
NPI assigned
Jan 22, 2007
Last updated
May 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Authorized official

Name
Terry H McMillanNPI 1992753487
Title
Owner
Phone
(575) 521-3025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 2470 NM Primary

Addresses

Primary practice location

1130 Commerce Dr
Las Cruces, NM 88011-8209

Mailing address

1130 Commerce Dr
Las Cruces, NM 88011-8209
Phone (575) 521-3025

Other identifiers 1

IdentifierTypeStateIssuer
U8766MedicaidNM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1528112109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 COMMERCE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118209",
            "telephone_number": "575-521-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 COMMERCE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118209",
            "telephone_number": "575-521-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LC-ENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-521-3025"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NM",
            "license": "2470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "U8766",
            "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 May 14, 2013; 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.