Organization Active NPI

Kenneth P. Adams, D.O.,P.C

  • Ophthalmology Physician
  • Albuquerque, NM
National Provider Identifier
1881961290
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A-1439-08 Issued in NM
Legal business name
KENNETH P. ADAMS, D.O.,P.C
Practice address
12412 Pristine Court Northeast
Albuquerque, NM 87122-4315
Phone
(505) 242-3330
NPI assigned
Nov 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Dr. Kennth P Adams, D.O.
Title
Soleowner/Ophthalmologist
Phone
(505) 822-1352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X A-1439-08 NM Primary

Addresses

Primary practice location

12412 Pristine Court Northeast
Albuquerque, NM 87122-4315

Mailing address

12412 Pristine Court Northeast
Albuquerque, NM 87122-4315
Phone (505) 242-3330

National Provider Directory

National Provider Directory

Locations

1235 Wyoming Blvd NE
Albuquerque, NM 87112
Phone (505) 292-2220

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1881961290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12412 PRISTINE COURT NORTHEAST",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871224315",
            "telephone_number": "505-242-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12412 PRISTINE COURT NORTHEAST",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871224315",
            "telephone_number": "505-242-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH P. ADAMS, D.O.,P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "KENNTH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SOLEOWNER/OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "505-822-1352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "A-1439-08",
            "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 Nov 30, 2011; 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.