Active NPI
Okay Harold Odocha MD PC
- Medical Specialty Clinic/Center
- Silver City, NM
National Provider Identifier
1679875926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- MD2009-0004
- Legal business name
- OKAY HAROLD ODOCHA MD PC
- Practice address
- 1302 E 32ND St Ste a
Silver City, NM 88061-7215 - Phone
- (575) 956-6633
- Fax
- (575) 956-6615
- NPI assigned
- Nov 18, 2010
- 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. Okay Harold Odocha, MD
- Title
- Owner
- Phone
- (575) 956-6633
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | MD2009-0004 | NM | Primary |
Addresses
Primary practice location
1302 E 32ND St Ste a
Silver City, NM 88061-7215
Mailing address
1302 E 32ND St Ste a
Silver City, NM 88061-7215
Phone (575) 956-6633
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 67602789 | Medicaid | NM | |
| DX4563 | Other | NM | MEDICARE RAILROAD PTAN |
| NM301789 | Other | NM | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryLocations
1302 E 32nd St
Ste A
Silver City, NM 88061
Phone (505) 861-0060
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Houston, TX
- NPI 1316635626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543536000000",
"number": "1679875926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 E 32ND ST STE A",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880617215",
"telephone_number": "575-956-6633",
"fax_number": "575-956-6615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 E 32ND ST STE A",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880617215",
"telephone_number": "575-956-6633",
"fax_number": "575-956-6615"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OKAY HAROLD ODOCHA MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-18",
"last_updated": "2018-11-30",
"status": "A",
"authorized_official_last_name": "ODOCHA",
"authorized_official_first_name": "OKAY",
"authorized_official_middle_name": "HAROLD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "575-956-6633",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "NM",
"license": "MD2009-0004",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "67602789",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD PTAN",
"identifier": "DX4563",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "NM301789",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silver City, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.