Active NPI
Iris G Baca, LMT 5746
- Specialist
- Las Cruces, NM
National Provider Identifier
1851556492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 5746
- Practice address
- 1625 S Main St
Suite 5a
Las Cruces, NM 88005-6577 - Phone
- (575) 640-8344
- NPI assigned
- Jul 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 5746 | NM | Primary |
Addresses
Primary practice location
1625 S Main St
Suite 5a
Las Cruces, NM 88005-6577
Mailing address
PO Box 7443
Las Cruces, NM 88006-7443
Phone (575) 640-8344
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5746 | NM | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216771200000",
"number": "1851556492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7443",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880067443",
"telephone_number": "575-640-8344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 S MAIN ST",
"address_2": "SUITE 5A",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880056577",
"telephone_number": "575-640-8344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACA",
"first_name": "IRIS",
"middle_name": "G",
"credential": "LMT 5746",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-23",
"last_updated": "2008-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NM",
"license": "5746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.