Active NPI
Sunshine Dental, PC
- Dental Clinic/Center
- Albuquerque, NM
National Provider Identifier
1003299173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 1865
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.