Individual provider Active NPI

Delores Anne Endres, M.D.

  • Family Medicine Physician
  • Taos, NM
National Provider Identifier
1770639585
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
85-22 Issued in NM
Practice address
630 Paseo del Pueblo Sur
Suite 150
Taos, NM 87571-6070
Phone
(575) 758-3005
Fax
(575) 758-7010
NPI assigned
Jan 26, 2007
Last updated
Sep 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 85-22 NM Primary

Addresses

Primary practice location

630 Paseo del Pueblo Sur
Suite 150
Taos, NM 87571-6070

Mailing address

630 Paseo del Pueblo Sur
Suite 150
Taos, NM 87571-6070
Phone (575) 758-3005

Other names 1

  • Dr. Del Anne Endres Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1770639585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 PASEO DEL PUEBLO SUR",
            "address_2": "SUITE 150",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716070",
            "telephone_number": "575-758-3005",
            "fax_number": "575-758-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 PASEO DEL PUEBLO SUR",
            "address_2": "SUITE 150",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716070",
            "telephone_number": "575-758-3005",
            "fax_number": "575-758-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDRES",
        "first_name": "DELORES",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "85-22",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEL",
            "last_name": "ENDRES",
            "middle_name": "ANNE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Taos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.