J Keith Pinckard, M.D., PH.D.

Primary specialty

Forensic Pathology PhysicianTaxonomy code 207ZF0201X

License

MD2012-0021 Issued in NM

Practice address

Office of the Medical Investigator
Msc07 4040, 1 University of New Mexico
Albuquerque, NM 87131-0001

Phone

(505) 925-3053

Fax

(505) 925-0546

NPI assigned

Sep 25, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1285372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1972812972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "OFFICE OF THE MEDICAL INVESTIGATOR",
            "address_2": "MSC07 4040, 1 UNIVERSITY OF NEW MEXICO",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-925-3053",
            "fax_number": "505-925-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OFFICE OF THE MEDICAL INVESTIGATOR",
            "address_2": "MSC07 4040, 1 UNIVERSITY OF NEW MEXICO",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-925-3053",
            "fax_number": "505-925-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINCKARD",
        "first_name": "J",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-25",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "TX",
            "license": "L6575",
            "primary": false
        },
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "NM",
            "license": "MD2012-0021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pine Psychiatric Care Services LLC
• Larry J. Pineda, PHARMD
• Jaylene Pinedo
• Jessica Pinera, LCSW

• Forensic Pathology Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Forensic Pathology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.