Organization Active NPI

La Plata Medical Examiners

  • Independent Medical Examiner Physician
  • Farmington, NM
National Provider Identifier
1669208401
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner PhysicianTaxonomy code 202C00000X
Legal business name
LA PLATA MEDICAL EXAMINERS
Practice address
783 New Mexico 170
Farmington, NM 87401-8700
Phone
(505) 556-1999
Fax
(505) 675-2788
NPI assigned
Sep 9, 2024
Last updated
Sep 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Authorized official

Name
Dr. Damon Kalcich, DONPI 1558571851
Title
President
Phone
(505) 556-1999

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
Independent Medical Examiner Physician 202C00000X NU Primary

Addresses

Primary practice location

783 New Mexico 170
Farmington, NM 87401-8700

Mailing address

783 New Mexico 170
Farmington, NM 87401-8700
Phone (505) 556-1999

Other practice location 1

5510 Lomas Blvd NE
Albuquerque, NM 87110-6545
Phone (505) 556-1999

Other practice location 2

1447 E Roosevelt Ave Ste B
Grants, NM 87020-2245
Phone (505) 556-1999

National Provider Directory

National Provider Directory

Locations

1447 E Roosevelt Ave
Ste B
Grants, NM 87020
Phone (505) 556-1999

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": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1669208401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "783 NEW MEXICO 170",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018700",
            "telephone_number": "505-556-1999",
            "fax_number": "505-675-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "783 NEW MEXICO 170",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018700",
            "telephone_number": "505-556-1999",
            "fax_number": "505-675-2788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5510 Lomas Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871106545",
            "country_code": "US",
            "telephone_number": "505-556-1999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1447 E Roosevelt Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Grants",
            "state": "NM",
            "postal_code": "870202245",
            "country_code": "US",
            "telephone_number": "505-556-1999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LA PLATA MEDICAL EXAMINERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "KALCICH",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-556-1999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "NU",
            "license": null,
            "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 Sep 18, 2024; 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.