Individual provider Active NPI

Ryan B Anderson, M.D.

  • Ophthalmology Physician
  • Las Cruces, NM
National Provider Identifier
1891752812
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD2005-0470 Issued in NM
Practice address
2030 S Solano Dr
Las Cruces, NM 88001-5402
Phone
(575) 521-1158
Fax
(575) 521-1007
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35249 AZ
Ophthalmology Physician 207W00000X MD2005-0470 NM Primary

Addresses

Primary practice location

2030 S Solano Dr
Las Cruces, NM 88001-5402

Mailing address

2030 S Solano Dr
Las Cruces, NM 88001-5402
Phone (575) 521-1158

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Mark L Griswold & Associates PLC Ophthalmology PastSince Aug 1, 2014 Accepting new patients
Accutech Family Eye Care PastSince May 24, 2017 Accepting new patients
Scott D Allen MD & Associates PC Ophthalmology PastSince Jul 12, 1995 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336089600000",
    "number": "1891752812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 S SOLANO DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015402",
            "telephone_number": "575-521-1158",
            "fax_number": "575-521-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 S SOLANO DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015402",
            "telephone_number": "575-521-1158",
            "fax_number": "575-521-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "RYAN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2012-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "35249",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "MD2005-0470",
            "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 May 4, 2012; 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.