Eddie Zepeda, CPO

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

1401 S. Don Roser Dr
Suite #E2
Las Cruces, NM 88011-4576

Phone

(915) 383-8872

Fax

(575) 993-5327

NPI assigned

Mar 19, 2009

Last updated

Oct 4, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Eddie Zepeda

  dba Primecare Orthotics & Prosthetics

  • Durable Medical Equipment & Medical Supplies
  • Las Cruces, NM
  • NPI 1003118050

  O20100930011524

  Same enrollment

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1942441993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S. DON ROSER DR",
            "address_2": "SUITE #E2",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114576",
            "telephone_number": "915-383-8872",
            "fax_number": "575-993-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S. DON ROSER DR",
            "address_2": "SUITE #E2",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114576",
            "telephone_number": "915-383-8872",
            "fax_number": "575-993-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEPEDA",
        "first_name": "EDDIE",
        "credential": "CPO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-19",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09176071",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Prosthetic/Orthotic Supplier in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.