NPIMap

Organization Active NPI

505 Foot Care LLC

  • Podiatrist
  • Albuquerque, NM
National Provider Identifier
1578093803
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
393 Issued in NM
Legal business name
505 FOOT CARE LLC
Practice address
8019 Lava Reach Ave NW Ste a
Albuquerque, NM 87120-6531
Phone
(505) 210-2113
Fax
(505) 962-0701
NPI assigned
Jun 19, 2017
Last updated
Oct 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Authorized official

Name
Dr. Benjamin J Hockin, DPMNPI 1205845823
Title
Sole MBR
Phone
(505) 210-2113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 393 NM Primary

Addresses

Primary practice location

8019 Lava Reach Ave NW Ste a
Albuquerque, NM 87120-6531

Mailing address

8019 Lava Reach Ave NW Ste a
Albuquerque, NM 87120-6531
Phone (505) 210-2113

Other names 1

  • BENJAMIN HOCKIN DPM Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170630000303 NM Part B Supplier - Clinic/Group Practice 6103195441 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

4811 Hardware Dr NE
Ste C-5
Albuquerque, NM 87109
Phone (505) 210-2113

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": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1578093803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8019 LAVA REACH AVE NW STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871206531",
            "telephone_number": "505-210-2113",
            "fax_number": "505-962-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8019 LAVA REACH AVE NW STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871206531",
            "telephone_number": "505-210-2113",
            "fax_number": "505-962-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "505 FOOT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-19",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "HOCKIN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "505-210-2113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NM",
            "license": "393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BENJAMIN HOCKIN DPM",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "BENJAMIN HOCKIN DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.