Organization Active NPI

Robben R. Gingery, MD

  • Geriatric Psychiatry Physician
  • Rio Rancho, NM
National Provider Identifier
1902239635
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
91-207 Issued in NM
Legal business name
ROBBEN R. GINGERY, MD
Practice address
105 Alero Cir NE
Rio Rancho, NM 87124-0807
Phone
(505) 702-8978
Fax
(505) 702-8920
NPI assigned
Aug 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Authorized official

Name
Robben R. Gingery, MD
Title
M.D.
Phone
(505) 702-8978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0805X 91-207 NM Primary

Addresses

Primary practice location

105 Alero Cir NE
Rio Rancho, NM 87124-0807

Mailing address

105 Alero Cir NE
Rio Rancho, NM 87124-0807
Phone (505) 702-8978

Other identifiers 1

IdentifierTypeStateIssuer
E0179MedicaidNM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1902239635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ALERO CIR NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871240807",
            "telephone_number": "505-702-8978",
            "fax_number": "505-702-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ALERO CIR NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871240807",
            "telephone_number": "505-702-8978",
            "fax_number": "505-702-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBBEN R. GINGERY, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "GINGERY",
        "authorized_official_first_name": "ROBBEN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "505-702-8978",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NM",
            "license": "91-207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E0179",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.