NPIMap

Organization Active NPI

New Mexico Cardiac Care

  • Cardiovascular Disease Physician
  • Las Cruces, NM
National Provider Identifier
1699883132
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
NEW MEXICO CARDIAC CARE
Practice address
4351 E Lohman Ave
Suite 100
Las Cruces, NM 88011-8259
Phone
(505) 521-3270
Fax
(505) 521-3504
NPI assigned
Aug 25, 2006
Organization subpart
Yes
Parent organization
NEW MEXICO CARDIAC CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Mrs. Estella M Cannon
Title
Secretary/Practice Administrator
Phone
(505) 521-3270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

4351 E Lohman Ave
Suite 100
Las Cruces, NM 88011-8259

Mailing address

4351 E Lohman Ave
Suite 100
Las Cruces, NM 88011-8259
Phone (505) 521-3270

National Provider Directory

National Provider Directory
Part of
New Mexico Cardiac Care

Locations

3030 W Picacho Ave
Ste D
Las Cruces, NM 88007
Phone (575) 532-4427

Practitioners & affiliated clinicians

Practitioners 7

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": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1699883132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 E LOHMAN AVE",
            "address_2": "SUITE 100",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118259",
            "telephone_number": "505-521-3270",
            "fax_number": "505-521-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 E LOHMAN AVE",
            "address_2": "SUITE 100",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118259",
            "telephone_number": "505-521-3270",
            "fax_number": "505-521-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO CARDIAC CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW MEXICO CARDIAC CARE",
        "enumeration_date": "2006-08-25",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "ESTELLA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SECRETARY/PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "505-521-3270",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 25, 2012; 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.