Active NPI
Martha J Kent, MD
- Family Medicine Physician
- Albuquerque, NM
National Provider Identifier
1629001219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 82-226
- Practice address
- 6100 Pan American Freeway, NE
Suite 390
Albuquerque, NM 87109-3401 - Phone
- (505) 823-1805
- Fax
- (505) 823-1844
- NPI assigned
- Jul 8, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 82-226 | NM | Primary |
Addresses
Primary practice location
6100 Pan American Freeway, NE
Suite 390
Albuquerque, NM 87109-3401
Mailing address
6100 Pan American Freeway, NE
Suite 390
Albuquerque, NM 87109-3401
Phone (505) 823-1805
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31807 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82-226 | NM | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408924800000",
"number": "1629001219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 PAN AMERICAN FREEWAY, NE",
"address_2": "SUITE 390",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871093401",
"telephone_number": "505-823-1805",
"fax_number": "505-823-1844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 PAN AMERICAN FREEWAY, NE",
"address_2": "SUITE 390",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871093401",
"telephone_number": "505-823-1805",
"fax_number": "505-823-1844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENT",
"first_name": "MARTHA",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2014-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "82-226",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31807",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}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 Aug 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.