Organization Active NPI

New Mexico Kidney Care LLC

  • Nephrology Physician
  • Las Cruces, NM
National Provider Identifier
1750897377
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEW MEXICO KIDNEY CARE LLC
Practice address
271 Paseo de Dia
Ste 200
Las Cruces, NM 88011-7341
Phone
(575) 521-1575
Fax
(575) 521-1940
NPI assigned
Dec 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Authorized official

Name
James Hill
Title
General Manager
Phone
(704) 651-0795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

271 Paseo de Dia
Ste 200
Las Cruces, NM 88011-7341

Mailing address

271 Paseo de Dia
Ste 200
Las Cruces, NM 88011-7341
Phone (575) 521-1575

Other identifiers 1

IdentifierTypeStateIssuer
36488542MedicaidNM

National Provider Directory

National Provider Directory

Locations

755 S Telshor Blvd
#S101
Las Cruces, NM 88011
Phone (575) 521-1575

755 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-5666

NPI Registry JSON

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1750897377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 PASEO DE DIA",
            "address_2": "STE 200",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880117341",
            "telephone_number": "575-521-1575",
            "fax_number": "575-521-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 PASEO DE DIA",
            "address_2": "STE 200",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880117341",
            "telephone_number": "575-521-1575",
            "fax_number": "575-521-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO KIDNEY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "704-651-0795"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36488542",
            "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 28, 2023; 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.