Organization Active NPI

Okay Harold Odocha MD PC

  • Medical Specialty Clinic/Center
  • Silver City, NM
National Provider Identifier
1679875926
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MD2009-0004 Issued in NM
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

Updated by the provider on Nov 30, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
67602789MedicaidNM
DX4563OtherNMMEDICARE RAILROAD PTAN
NM301789OtherNMMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.