Deming Children'S Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

DD4143 Issued in NM

Legal business name

DEMING CHILDREN'S DENTISTRY

Practice address

8201 Golfcourse Rd NW C-3
Albuquerque, NM 87120

Phone

(505) 892-9010

Fax

(505) 899-4804

NPI assigned

Jul 31, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Kye Grant Kinzer, DDS

Title

Dentist

Phone

(505) 892-9010

Specialties & licenses 1

Addresses

Other names 1

• Deming Children's Dentistry Former legal business name

Locations

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1083022263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 GOLF COURSE RD NW STE C3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871205805",
            "telephone_number": "505-892-9010",
            "fax_number": "505-899-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 GOLFCOURSE RD NW C-3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87120",
            "telephone_number": "505-892-9010",
            "fax_number": "505-899-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMING CHILDREN'S DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "KINZER",
        "authorized_official_first_name": "KYE",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "505-892-9010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD4143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deming Children's Dentistry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Gerald Demarest, MD
• Nina J Demaroney, LMT
• Christopher P Demas, MD
• Bintou Demba
• Andrea Demeter, MD
• Paulina Dziamka Deming, PHARMD
• Garrett Adams Demko, LCSW
• Eleanor Mae Demmons
• Amy Demonbreun
• Dana Lynn Demos-Curtis, LCSW

• Dentist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.