NPIMap

Organization Active NPI

Carlos a Cadena DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Las Cruces, NM
National Provider Identifier
1679617229
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
238 Issued in NM
Legal business name
CARLOS A CADENA DPM PC
Practice address
2800 Doral CT Ste a
Las Cruces, NM 88011-8616
Phone
(575) 521-0055
Fax
(575) 521-0077
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Authorized official

Name
Dr. Carlos A Cadena, DPMNPI 1922095926
Title
Owner
Phone
(575) 521-0055

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 238 NM Primary

Addresses

Primary practice location

2800 Doral CT Ste a
Las Cruces, NM 88011-8616

Mailing address

2800 Doral CT Ste a
Las Cruces, NM 88011-8616
Phone (575) 521-0055

Other identifiers 2

IdentifierTypeStateIssuer
005399OtherNMBLUE CROSS BLUE SHIELD
000H1034MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040123001018 NM Part B Supplier - Clinic/Group Practice 1456253913 Receives reassigned benefits from 6 practitioners
Practice locations: Las Cruces, NM
O20100930090778 NM DME Supplier - Physician - Podiatry 1456253913 Practice locations: Las Cruces, NM

National Provider Directory

National Provider Directory

Locations

2800 Doral Ct
Las Cruces, NM 88011
Phone (575) 521-0055

2800 Doral Ct
Ste A
Las Cruces, NM 88011
Phone (505) 521-0055

2800 Doral Ct
#A
Las Cruces, NM 88011

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1679617229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 DORAL CT STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118616",
            "telephone_number": "575-521-0055",
            "fax_number": "575-521-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 DORAL CT STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118616",
            "telephone_number": "575-521-0055",
            "fax_number": "575-521-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS A CADENA DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "CADENA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-521-0055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NM",
            "license": "238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "005399",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000H1034",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.