Active NPI
David M. Macias, M.D., PC
- Sports Medicine (Family Medicine) Physician
- Santa Fe, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 76-228
- Legal business name
- DAVID M. MACIAS, M.D., PC
- Practice address
- 1925 Rosina
Suite D
Santa Fe, NM 87505-3355 - Phone
- (505) 984-8206
- Fax
- (505) 984-8274
- NPI assigned
- Jul 19, 2007
- Last updated
- Jul 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David M Macias, M.D.
- Title
- President
- Phone
- (505) 984-8206
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 76-228 | NM | Primary |
Addresses
Primary practice location
1925 Rosina
Suite D
Santa Fe, NM 87505-3355
Mailing address
1925 Rosina
Suite D
Santa Fe, NM 87505-3355
Phone (505) 984-8206
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y0721 | Medicaid | NM |
National Provider Directory
National Provider DirectoryLocations
1925 Rosina St
Ste D
Santa Fe, NM 87505
Phone (505) 984-8206
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.
-
- Sports Medicine (Family Medicine) Physician
- Santa Fe, NM
- NPI 1033194378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184889600000",
"number": "1609076504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 ROSINA",
"address_2": "SUITE D",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875053355",
"telephone_number": "505-984-8206",
"fax_number": "505-984-8274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 ROSINA",
"address_2": "SUITE D",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875053355",
"telephone_number": "505-984-8206",
"fax_number": "505-984-8274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID M. MACIAS, M.D., PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-19",
"last_updated": "2007-07-20",
"status": "A",
"authorized_official_last_name": "MACIAS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "505-984-8206",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "NM",
"license": "76-228",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Y0721",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.