Organization Active NPI

Primary Healthcare, Inc.

  • Family Medicine Physician
  • Farmington, NM
National Provider Identifier
1609051507
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
90-188 Issued in NM
Legal business name
PRIMARY HEALTHCARE, INC.
Practice address
505 E 20TH St
Farmington, NM 87401-2105
Phone
(505) 324-6300
NPI assigned
Jan 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Authorized official

Name
Dr. Dan A Dunn, M.D.
Title
Owner
Phone
(505) 324-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 90-188 NM Primary

Addresses

Primary practice location

505 E 20TH St
Farmington, NM 87401-2105

Mailing address

505 E 20TH St
Farmington, NM 87401-2105
Phone (505) 324-6300

National Provider Directory

National Provider Directory

Locations

505 E 20th St
Farmington, NM 87401
Phone (505) 324-6300

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1609051507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E 20TH ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874012105",
            "telephone_number": "505-324-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E 20TH ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874012105",
            "telephone_number": "505-324-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-324-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "90-188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.