Organization Active NPI

Carl Connors OBGYN LLC

  • Specialist
  • Albuquerque, NM
National Provider Identifier
1861836413
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A-913-90 Issued in NM
Legal business name
CARL CONNORS OBGYN LLC
Practice address
4705 Montgomery Blvd NE Ste 105
Albuquerque, NM 87109-1246
Phone
(505) 727-3280
Fax
(505) 727-3282
NPI assigned
Apr 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Authorized official

Name
Carl J Connors, DO
Title
President
Phone
(505) 727-3280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A-913-90 NM Primary

Addresses

Primary practice location

4705 Montgomery Blvd NE Ste 105
Albuquerque, NM 87109-1246

Mailing address

4705 Montgomery Blvd NE Ste 105
Albuquerque, NM 87109-1246
Phone (505) 727-3280

National Provider Directory

National Provider Directory

Locations

4705 Montgomery Blvd NE
Ste 105
Albuquerque, NM 87109
Phone (505) 727-3280

NPI Registry JSON

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1861836413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 MONTGOMERY BLVD NE STE 105",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091246",
            "telephone_number": "505-727-3280",
            "fax_number": "505-727-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 MONTGOMERY BLVD NE STE 105",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091246",
            "telephone_number": "505-727-3280",
            "fax_number": "505-727-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL CONNORS OBGYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-25",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "CONNORS",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-727-3280",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NM",
            "license": "A-913-90",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.