Individual provider Active NPI

Noel G Dias, MD

  • Diagnostic Radiology Physician
  • Alamogordo, NM
National Provider Identifier
1962477414
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD2010-0781 Issued in NM
Practice address
2006 Scenic Dr Apt B
Alamogordo, NM 88310-3800
Phone
(602) 904-3979
NPI assigned
Feb 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2001014978 MO
Diagnostic Radiology Physician 2085R0202X 0432978 KS
Nuclear Medicine Physician 207U00000X 2001014978 MO
Nuclear Medicine Physician 207U00000X 0432978 KS
Diagnostic Radiology Physician 2085R0202X MD2010-0781 NM Primary
Nuclear Medicine Physician 207U00000X MD2010-0781 NM

Addresses

Primary practice location

2006 Scenic Dr Apt B
Alamogordo, NM 88310-3800

Mailing address

2006 Scenic Dr Apt B
Alamogordo, NM 88310-3800
Phone (602) 904-3979

Other identifiers 6

IdentifierTypeStateIssuer
200311650AMedicaidKS
P00154641OtherRR MEDICARE GROUP CK7871
205693203MedicaidMO
35022012OtherMOBCBC KANSAS CITY MO
55752047MedicaidNM
205113OtherBCBS KS FOR MO LOCATION

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

State licenses

LicenseStateTypeSpecialty
014978MOMDDentist
0432978KSMDNuclear Medicine Physician
2001014978MOMDDiagnostic Radiology Physician
MD2010-0781NMMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Diagnostic Radiology in Nuclear Medicine Diagnostic Radiology Past Accepting new patients
X-Ray, Inc. Diagnostic Radiology Past Accepting new patients
Radiology Specialists of St Joseph PC Diagnostic Radiology Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Organizations & group practices 4

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": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1962477414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 SCENIC DR APT B",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883103800",
            "telephone_number": "602-904-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 SCENIC DR APT B",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883103800",
            "telephone_number": "602-904-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAS",
        "first_name": "NOEL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2001014978",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "0432978",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "MO",
            "license": "2001014978",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "KS",
            "license": "0432978",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "MD2010-0781",
            "primary": true
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "NM",
            "license": "MD2010-0781",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200311650A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP CK7871",
            "identifier": "P00154641",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205693203",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBC KANSAS CITY MO",
            "identifier": "35022012",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55752047",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KS FOR MO LOCATION",
            "identifier": "205113",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.