Active NPI
Ralph Edward McElmurry Jr., D.D.S.
- Periodontics
- Las Cruces, NM
National Provider Identifier
1568517787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DD1331
- Practice address
- 2918 Hillrise Dr
Las Cruces, NM 88011-4702 - Phone
- (575) 522-2477
- Fax
- (575) 521-3556
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DD1331 | NM | Primary |
Addresses
Primary practice location
2918 Hillrise Dr
Las Cruces, NM 88011-4702
Mailing address
2918 Hillrise Dr
Las Cruces, NM 88011-4702
Phone (575) 522-2477
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160106001993 | NM | Order and Referring Only - Oral Surgery | 7214239300 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DD1331 | NM | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384905600000",
"number": "1568517787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2918 HILLRISE DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114702",
"telephone_number": "575-522-2477",
"fax_number": "575-521-3556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2918 HILLRISE DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114702",
"telephone_number": "575-522-2477",
"fax_number": "575-521-3556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCELMURRY",
"first_name": "RALPH",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2013-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NM",
"license": "DD1331",
"primary": true
}
],
"identifiers": [],
"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 Nov 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.