Organization Active NPI

Sunshine Dental, PC

  • Dental Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1003299173
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1865 Issued in NM
Legal business name
SUNSHINE DENTAL, PC
Practice address
10411 Lagrima de Oro Rd NE
Albuquerque, NM 87111-3727
Phone
(505) 298-0456
Fax
(505) 298-4467
NPI assigned
Jul 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Authorized official

Name
Dr. Lilian Haydee Jaime, DMD
Title
President
Phone
(505) 298-0456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 1865 NM Primary

Addresses

Primary practice location

10411 Lagrima de Oro Rd NE
Albuquerque, NM 87111-3727

Mailing address

10411 Lagrima de Oro Rd NE
Albuquerque, NM 87111-3727
Phone (505) 298-0456

National Provider Directory

National Provider Directory

Locations

10411 Lagrima de Oro Rd NE
Albuquerque, NM 87111
Phone (505) 298-0456

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1003299173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10411 LAGRIMA DE ORO RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113727",
            "telephone_number": "505-298-0456",
            "fax_number": "505-298-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10411 LAGRIMA DE ORO RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113727",
            "telephone_number": "505-298-0456",
            "fax_number": "505-298-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "JAIME",
        "authorized_official_first_name": "LILIAN",
        "authorized_official_middle_name": "HAYDEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-298-0456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NM",
            "license": "1865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.