INDIAN WELLS FAMILY PRACTICE
NPI 1962415364
Clinic/Center - Primary Care in Alamogordo, NM

Active since August 15, 2006
2474 INDIAN WELLS RD, ALAMOGORDO, NM 88310(575) 443-0339(575) 434-5624 Get Directions Write a Review

NPPES record last updated: February 21, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Indian Wells Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDIAN WELLS FAMILY PRACTICE (NPI 1962415364) is a healthcare organization registered as a primary care in Alamogordo, New Mexico and active in the NPI registry since August 2006. The organization lists Dan H Moezzi, President, as its authorized official.

NPPES Registry Identity

NPI1962415364
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDAN MOEZZI MD PC
Location Address2474 INDIAN WELLS RDAlamogordo, NM 88310-3831
Mailing Address2474 Indian Wells RdAlamogordo, NM 88310-3831 · (575) 443-0339 · Fax (575) 434-5624
Fax(575) 434-5624
Organization SubpartNo
Authorized OfficialDan H MoezziPresident · (575) 443-0339
Enumeration DateAugust 15, 2006
Last NPPES UpdateFebruary 21, 2010
✔ NPI 1962415364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NM · 95-302
2474 INDIAN WELLS RD, Alamogordo, NM 88310

Other Names 1

Doing Business AsIndian Wells Family Practice

Other Identifiers 5

MedicaidH1455NM
Other201017118NM · Presbyterian Health Care
OtherNM004493NM · Blue Cross Blue Shield
Medicare UPING17564NM
Medicare ID-Type Unspecified500521034NM · Provider Number

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Indian Wells Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Indian Wells Family Practice, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Family Practice
NPI 1538225610
2474 INDIAN WELLS RD
Alamogordo, NM 88310
(505) 443-0339
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1275699357
2474 INDIAN WELLS RD
Alamogordo, NM 88310
(505) 443-0339
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1154937555
115 S FLORIDA AVE STE A
Alamogordo, NM 88310
(575) 297-4993
✔ PECOS✔ Accepts Medicare2.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dan Moezzi MD PC's NPI number?

The NPI number for Dan Moezzi MD PC is 1962415364. It was assigned to this organization in the NPPES registry on August 15, 2006. The provider is doing business as Indian Wells Family Practice.

Where is Dan Moezzi MD PC located?

Dan Moezzi MD PC is located at 2474 Indian Wells Rd, Alamogordo, NM 88310. The listed phone number is (575) 443-0339.

What is Dan Moezzi MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Dan Moezzi MD PC enrolled in Medicare?

Yes. Dan Moezzi MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dan Moezzi MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Dan Moezzi MD PC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dan Moezzi MD PC was last updated on February 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.