Organization Active NPI

Zia Sun Inc

  • Specialist
  • Alamogordo, NM
National Provider Identifier
1760601462
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
86069 Issued in NM
Legal business name
ZIA SUN INC
Practice address
1909 Cuba Ave
Suite 4
Alamogordo, NM 88310-5646
Phone
(505) 443-6262
Fax
(505) 443-0672
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Authorized official

Name
Dr. John Richard Jones, MD
Title
Owner
Phone
(505) 443-6262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 86069 NM Primary

Addresses

Primary practice location

1909 Cuba Ave
Suite 4
Alamogordo, NM 88310-5646

Mailing address

1909 Cuba Ave
Suite 4
Alamogordo, NM 88310-5646
Phone (505) 443-6262

Other identifiers 1

IdentifierTypeStateIssuer
37804MedicaidNM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1760601462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 CUBA AVE",
            "address_2": "SUITE 4",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105646",
            "telephone_number": "505-443-6262",
            "fax_number": "505-443-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 CUBA AVE",
            "address_2": "SUITE 4",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105646",
            "telephone_number": "505-443-6262",
            "fax_number": "505-443-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIA SUN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-443-6262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NM",
            "license": "86069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37804",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.