Organization Active NPI

Donald L Horney, MD, PC

  • Specialist
  • Gallup, NM
National Provider Identifier
1780604587
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
91-222 Issued in NM
Legal business name
DONALD L HORNEY, MD, PC
Practice address
1332 S Country Club Dr
Gallup, NM 87301-5665
Phone
(505) 863-2134
Fax
(505) 863-8900
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Donald L Horney, PH.D., M.D.
Title
President
Phone
(505) 870-0640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 91-222 NM Primary

Addresses

Primary practice location

1332 S Country Club Dr
Gallup, NM 87301-5665

Mailing address

PO Box 218
Gallup, NM 87305-0218
Phone (505) 870-0640

Other identifiers 3

IdentifierTypeStateIssuer
E1393MedicaidNM
327909MedicaidAZ
00NM009587OtherNMBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780604587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873050218",
            "telephone_number": "505-870-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 S COUNTRY CLUB DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015665",
            "telephone_number": "505-863-2134",
            "fax_number": "505-863-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD L HORNEY, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HORNEY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-870-0640",
        "authorized_official_credential": "PH.D., M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NM",
            "license": "91-222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E1393",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "327909",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00NM009587",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallup, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.