Active NPI
Jennifer L Toncray, DO
- Dermatology Physician
- Alamogordo, NM
National Provider Identifier
1770680902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A115701
- Practice address
- 1212 9TH Street
Suite H Tularosa Basin Dermatology
Alamogordo, NM 88310 - Phone
- (505) 437-6700
- Fax
- (505) 437-6644
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A115701 | NM | Primary |
Addresses
Primary practice location
1212 9TH Street
Suite H Tularosa Basin Dermatology
Alamogordo, NM 88310
Mailing address
1212 9TH Street
Suite a Tularosa Basin Dermatology
Alamogordo, NM 88310
Phone (505) 437-6700
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A115701 | NM | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770680902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 9TH STREET",
"address_2": "SUITE A TULAROSA BASIN DERMATOLOGY",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "88310",
"telephone_number": "505-437-6700",
"fax_number": "505-437-6644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 9TH STREET",
"address_2": "SUITE H TULAROSA BASIN DERMATOLOGY",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "88310",
"telephone_number": "505-437-6700",
"fax_number": "505-437-6644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TONCRAY",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NM",
"license": "A115701",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.