Individual provider Active NPI

Deborah Schenck, MD

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Carlsbad, NM
National Provider Identifier
1659434793
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
98154 Issued in NM
Practice address
2420 W Pierce St
Suite 103
Carlsbad, NM 88220-3543
Phone
(505) 887-8764
Fax
(505) 887-8779
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 98154 NM Primary

Addresses

Primary practice location

2420 W Pierce St
Suite 103
Carlsbad, NM 88220-3543

Mailing address

2420 W Pierce St
Suite 200-B
Carlsbad, NM 88220-3543
Phone (575) 628-0926

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
98154NMMDPreventive Medicine/Occupational Environmental Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pecos Valley of New Mexico, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: deborah.schenck.1@1610.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1659434793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 W PIERCE ST",
            "address_2": "SUITE 200-B",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203543",
            "telephone_number": "575-628-0926",
            "fax_number": "575-628-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 W PIERCE ST",
            "address_2": "SUITE 103",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203543",
            "telephone_number": "505-887-8764",
            "fax_number": "505-887-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHENCK",
        "first_name": "DEBORAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "NM",
            "license": "98154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.