Active NPI
New Mexico Kidney Care LLC
- Nephrology Physician
- Las Cruces, NM
National Provider Identifier
1750897377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36488542 | Medicaid | NM |
National Provider Directory
National Provider DirectoryLocations
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
- New Mexico Cardiac Care
- New Mexico Cardiology & Arrythmia Consultants, PC
- New Mexico Cardiovascular Associates, PC
- New Mexico Family Therapy & Wellness, LLC (Megan Goepfert, LCSW, IMH-E (III))
- New Mexico Healthcare Services, LLC (Excelacare Home Health)
- New Mexico Lions Crane Reading Foundation
- New Mexico Lions Operation Kidsight
- New Mexico Medical & Injury Clinics
- New Mexico Medical Cardiology LLC
- New Mexico Primary Care Group P.C.
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.